Is part B Medicare a requirement?

Asked by: Stella Goyette  |  Last update: February 13, 2025
Score: 4.7/5 (13 votes)

NOTE: Medicare Part B is voluntary, and you must pay a premium if you decide you want the coverage, unless you get help from your state. If you're approaching age 65 and not receiving benefits, you should contact us about 3 months before your 65th birthday to sign up for Medicare.

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.

Can I choose not to take 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.

Do you have to opt into Medicare Part B?

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 ...

Can you have Medicare Part B and no Part A?

While it is always advisable to have Part A, you can buy Medicare Part B (medical insurance) without having to buy Medicare Part A (hospital insurance) as long as you are: Age 65+ And, a U.S. citizen or a legal resident who has lived in the U.S. for at least five years.

8 Reasons to DELAY Medicare Past 65 That Will Save You Thousands and Avoid ALL Penalties

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Can I skip Part B of Medicare?

If you don't qualify to delay Part B, you'll need to enroll during your Initial Enrollment Period to avoid paying the penalty. You may refuse Part B without penalty if you have creditable coverage, but you have to do it before your coverage start date.

Can I 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.

What happens if I opt out of Medicare Part B?

That penalty could increase your premiums by 10% for each 12 months that you could have had Part B coverage but didn't. This means that if you opt out of Part B at 65, but decided to enroll at 68, your premiums could be 30% higher for the rest of your life.

Can you avoid paying 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 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).

Why do people decline Medicare Part B?

Most people pay a monthly premium for Part B. If you have a low income, there are programs that can pay your Part B premium if you qualify. Some people do not take Part B during their Initial Enrollment Period (IEP) because they have primary insurance from their current employer or their spouse's current employer.

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.

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.

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.

What is the alternative to Medicare Part B?

Part C (Medicare Advantage)

Part C is known as Medicare Advantage. It's an alternative to Parts A and B that bundles several coverage types, including Parts A, B, and usually D. It may also include: Vision.

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).

Is Medicare Part B necessary?

Part B helps cover medically necessary services like doctors' services, outpatient care, and other medical services that Part A doesn't cover. Part B also covers many preventive services. Part B coverage is your choice. However, you need to have Part B if you want to buy Part A.

How can I reduce my 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.

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.

Can Medicare Part B be discontinued?

Summary. Individuals with Medicare Part B can choose to cancel (drop) their coverage at any time. However, before they do so, they should consider risks, such as medical costs, late enrollment penalties, and coverage gaps.

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).

How much is deducted from Social Security for Medicare Part B?

Medicare Part B Premium and Deductible

The standard monthly premium for Medicare Part B enrollees will be $185.00 for 2025, an increase of $10.30 from $174.70 in 2024. The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deductible of $240 in 2024.

What happens if I don't want 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.

Is there a penalty for not enrolling in Medicare Part A at age 65?

Some Medicare Advantage (MA) plans also include Medicare Part D coverage (MAPD). Let's take a look at penalties for each plan: Medicare Part A penalty: If you pay a Part A premium, your penalty is an extra 10% of your monthly premium. The penalty is charged for double the number of years you delayed enrollment.

Does Social Security automatically enroll you in Medicare Part B?

We'll automatically enroll you in both Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). We'll mail you a welcome package with your Medicare card 3 months before your Medicare Part A and Part B coverage starts. When will I be enrolled? Answer a few questions to double-check.