Is Medicare Part A and B mandatory?

Asked by: Idella VonRueden  |  Last update: January 3, 2026
Score: 4.3/5 (44 votes)

No. If you aren't eligible for free Part A, you don't have to enroll. However, if you want to buy Medicare coverage and you want Part A, you also have to buy Part B.

Is there a penalty for not having Medicare Part B?

Example: If you waited 2 full years (24 months) to sign up for Part B and didn't qualify for a Special Enrollment Period, you'll have to pay a 20% late enrollment penalty (10% for each full 12-month period that you could have signed up), plus the standard Part B monthly premium ($185 in 2025).

Can I opt out of Medicare Part A?

You can cancel Part A only if you pay a premium for it. You can cancel Part B at any time.

Is Medicare Part A mandatory?

Enrollment in Medicare Part A is mandatory for people who receive Social Security benefits. Enrollment in Part B is voluntary.

Can a person decline Medicare Part A?

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 Medicare Mandatory?

37 related questions found

Does everyone have to pay $170 a month for Medicare?

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.

Do I have to accept Medicare Part A?

No. If you aren't eligible for free Part A, you don't have to enroll. However, if you want to buy Medicare coverage and you want Part A, you also have to buy Part B.

Can you collect Social Security and decline Medicare Part A?

In fact, if you are already receiving Social Security retirement benefits, you'll have to pay back all the benefits you've received so far in order to opt out of Medicare Part A coverage. That's not usually an option as most people rely on those monthly payments to cover their bills.

Why are doctors opting out of Medicare?

Why should a direct care physician opt out of Medicare? The ONLY reason to opt out of Medicare is if you want to 1) see a Medicare patient, 2) under private contract, 3) for covered services. All three of these must be true, or it is not worth your trouble to opt out.

Does a person really need 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.

How do I avoid paying Medicare Part B?

You may refuse Part B without penalty if you have creditable coverage, but you have to do it before your coverage start date. Follow the directions on the back of your Medicare card if you want to refuse Part B.

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).

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.

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.

Is Medicare Part A mandatory at age 65?

You're not required to enroll in Medicare when you turn 65. However, if you don't enroll when you're first eligible you might be subject to Part A, Part B, and Part D late enrollment penalties. Knowing when you qualify for the different parts of Medicare is important since it lets you know when you can enroll.

What happens if I don't take Medicare Part B?

In most cases, if you don't sign up for Part B when you're first eligible, you'll have to pay a penalty—and not just upon enrollment. You'll continue to pay that penalty for as long as you're enrolled in Medicare Part B.

Who qualifies for an extra $144 added to their Social Security?

To qualify for a Medicare giveback benefit, you must be enrolled in Medicare Part A and B. You must be responsible for paying the Part B Premiums; you should not rely on state government or other local assistance for your Part B premiums.

Who is exempt from paying Medicare Part A?

To be eligible for premium-free Part A on the basis of age: A person must be age 65 or older; and. Be eligible for monthly Social Security or Railroad Retirement Board (RRB) cash benefits.

Can I have Medicare Part A and not Part B?

If you get Part A premium-free, you can choose whether or not to enroll in Part B. Finally, state-specific programs exist to help pay Medicare premiums and other costs for beneficiaries with low incomes and assets who are not eligible for premium-free Part A.

How much money can you have in the bank if you're on Medicare?

eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.

What part of Medicare is free?

Part A is free if you worked and paid Medicare taxes for at least 10 years. You may also be eligible because of your current or former spouse's work.