How to not pay part B premium?

Asked by: Edyth Shanahan  |  Last update: July 19, 2025
Score: 4.6/5 (25 votes)

To drop Part B (or Part A if you have to pay a premium for it), you usually need to send your request in writing and include your signature. Contact Social Security.

Is there a way not to pay for Medicare Part B?

You can voluntarily terminate your Medicare Part B (Medical Insurance). However, you may need to have a personal interview with us to review the risks of dropping coverage and for assistance with your request.

Does everyone pay $170 for Medicare Part B?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

Who is exempt from paying Medicare Part B premiums?

Enrollees who have Medicaid, employer-sponsored health coverage, or retiree health benefits from an employer generally don't have to pay the full Medicare Part B deductible, as the other coverage picks up some or all of the cost (this varies depending on the plan).

How to reduce Medicare Part B premium?

If you've had a life-changing event that reduced your household income, you can ask to lower the additional amount you'll pay for Medicare Part B and Part D. Life-changing events include marriage, divorce, the death of a spouse, loss of income, and an employer settlement payment.

Medicare Part B Premium is Very High, How To Lower It

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Why am I paying so much for Medicare Part B?

If you have a higher income, you'll pay an additional premium amount for Medicare Part B and Medicare prescription drug coverage. We call the additional amount the “income-related monthly adjustment amount.” Here's how it works: Part B helps pay for your doctors' services and outpatient care.

How do I fight Medicare Part B premium?

First, you must request a reconsideration of the initial determination from the Social Security Administration. You can request a reconsideration by calling SSA at 1-800-772-1213 or by writing to SSA. There are 7 qualifying life-changing events: Death of spouse.

Can I drop my employer health insurance and go on Medicare Part B?

Once you stop working (or lose your health insurance, if that happens first) you have an 8-month Special Enrollment Period (SEP) when you can sign up for Medicare (or add Part B to existing Part A coverage).

Is it mandatory to have Medicare Part B?

Part B is optional. Part B helps pay for covered medical services and items when they are medically necessary. Part B also covers some preventive services like exams, lab tests, and screening shots to help prevent, find, or manage a medical problem.

What income level triggers higher Medicare premiums?

If you earn more than $106,000 ($212,000 if you're married), you pay higher monthly rates for both Medicare Part B and D. Currently insured? It's free, simple and secure. For 2025, your costs for Medicare Parts B and D are based on the income on your 2023 tax return.

How can I get Medicare Part B for free?

Individuals already receiving Social Security or RRB benefits at least 4 months before being eligible for Medicare and residing in the United States (except residents of Puerto Rico) are automatically enrolled in both premium-free Part A and Part B. People who are automatically enrolled have the choice of whether they ...

Why is Social Security no longer paying Medicare Part B?

There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.

How do you qualify for $144 back from Medicare?

To be eligible for the Medicare Part B Giveback Benefit, you must:
  1. Be enrolled Original Medicare (Parts A and B)
  2. Pay your own Part B premium.
  3. Live in the service area of a plan that offers a Part B giveback.

How do I decline Medicare Part B?

Contact your local Social Security office. If you're dropping Part B and keeping Part A, we'll send you a new Medicare card showing you have only Part A coverage. Write down your Medicare Number in case you need to go to the hospital or get Part A-covered services until your new card arrives.

What is the alternative to Part B Medicare?

Medicare Advantage Plan (Part C)

A type of Medicare-approved health plan from a private company that you can choose to cover most of your Part A and Part B benefits instead of Original Medicare. It usually also includes drug coverage (Part D).

How do I get my part B penalty waived?

You can appeal to remove the penalty if you think you were continuously covered by Part B or job-based insurance. You can also appeal to lower the penalty amount if you think it was calculated incorrectly. Call your former employer or plan and ask for a letter proving that you were enrolled in coverage.

Can I refuse to pay for Medicare Part B?

You do not have to pay for Medicare Part B to keep Medi-Cal. Stopping Medicare Part B coverage is generally not recommended. If you want to talk to someone about stopping Medicare Part B, call the SSA at 1-800-772-1213. NOTE: A few things could happen if you do not pay your Medicare Part B premium.

Is Medicare Part B free at age 65?

Medicare Part A (hospital insurance) is free for almost everyone. You have to pay a monthly premium for Medicare Part B (medical insurance). If you already have other health insurance when you become eligible for Medicare, you may wonder if it's worth the monthly premium costs to sign up for Part B.

Why do people opt out of Medicare Part B?

Although Part B is not mandatory, it does come with a premium in most cases. Some people delay enrollment in Medicare Part B to avoid paying the premium – especially if they have other creditable coverage. The same can be true of Part A, for people that must pay a premium for it.

Do I have to pay for Medicare Part B if I am still working?

You may be required to get Medicare Part B even when you're still working. There are two situations in which you must get Part B when you turn 65. If your employer has fewer than 20 employees. If you're covered by a spouse's employer, and the employer requires covered dependents to enroll in Medicare when they turn 65.

What is the 8 month rule for Medicare?

If you lose your job-based health coverage before you or your spouse stop working, you have 8 months to sign up. If you want Medicare coverage to start when your job-based health insurance ends, you need to sign up for Part B the month before you or your spouse plan to retire.

Do I need Medicare Part B if I have other insurance?

You can enroll in Medicare Part B if you have other insurance, but you don't have to. However, depending on your other insurance, it may benefit you to have both. This depends on the cost of your other insurance and how it works with Medicare.

How do I void a Medicare Part B claim?

If a person then decides to cancel the claim, they can call the general Medicare at 1-800-MEDICARE (1-800-633-4227) and explain they want to cancel a self-filed claim.

Can I deduct my Medicare Part B premiums?

Health insurance premiums such as the Part B premiums deducted from your Social Security benefits are considered “allowable” expenses and can help you reduce your tax liability. To qualify for the Medicare Part B premium tax deduction, you must itemize your expenses on your tax return.

What is the $800 reimbursement for Medicare?

Medicare Reimbursement Account (MRA)

Basic Option members who pay Medicare Part B premiums can be reimbursed up to $800 each year. You must submit proof of Medicare Part B premium payments through the online portal, EZ Receipts app or by fax or mail.