Is Social Security required for Medicare?

Asked by: Demetrius King  |  Last update: November 28, 2025
Score: 4.4/5 (33 votes)

You can still apply for Medicare online even if you are not ready to apply for Social Security retirement benefits. NOTE: We automatically enroll people who already get Social Security retirement or disability benefits in Parts A and B.

Can you get Medicare without Social Security?

If you are not receiving Social Security or Railroad Retirement benefits at age 65, you can sign up for Part A and Part B. You can do so during the 7-month period that begins 3 months before the month you turn 65. This period includes the month you turn 65 and ends 3 months after the month you turn 65.

What are the three requirements for Medicare?

Medicare Part B (Medical Insurance)
  • Be age 65 or older;
  • Be a U.S. resident; AND.
  • Be either a U.S. citizen, OR.
  • Be an alien who has been lawfully admitted for permanent residence and has been residing in the United States for 5 continuous years prior to the month of filing an application for Medicare.

Can you opt out of Medicare if you get Social Security?

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.

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.

How Do Social Security and Medicare Work Together?

31 related questions found

Can I legally opt out of Social Security?

People generally cannot voluntarily withdraw or stop participating in the Social Security program. You must pay Social Security taxes, regardless of you or your employer's citizenship or place of residence.

How do you pay for Medicare if you are not collecting Social Security?

If you don't get benefits from Social Security (or the Railroad Retirement Board), you'll get a premium bill from Medicare. Get a sample of the Medicare bill. Why is my first bill higher than I expected? An extra amount you pay in addition to your Part D plan premium, if your income is above a certain amount.

Is Medicare free at age 65?

Part A (Hospital Insurance) costs. $0 for most people (because they or a spouse paid Medicare taxes long enough while working - generally at least 10 years). If you get Medicare earlier than age 65, you won't pay a Part A premium. This is sometimes called “premium-free Part A.”

What are the 6 things Medicare doesn't cover?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

Who is exempt from SS and Medicare?

The Bottom Line. A few groups are exempt from paying taxes into the Social Security system. Most foreign academics and researchers are exempt if they're nonimmigrant and nonresident aliens. Self-employed workers who make less than $400 annually don't have to pay Social Security taxes, either.

How much does Medicare cost per month?

Here's what you'll pay for Medicare Part B: Premium: $185 per month, although you could pay more depending on your income. Higher-income beneficiaries: An additional $74 to $443.90 per month on your premium if your income exceeds certain thresholds. This is the income-related monthly adjustment amount (IRMAA).

Is Social Security required by law?

Beginning July 2, 1991, Social Security and Medicare Hospital Insurance (HI) coverage is mandatory for State and local government employees unless they are members of a public retirement system or covered by a Section 218 Agreement.

What is the 5 year rule for Social Security?

The Social Security 5-year rule refers specifically to disability benefits. It requires that you must have worked five out of the last ten years immediately before your disability onset to qualify for Social Security Disability Insurance (SSDI).

Is Medicare Part B mandatory?

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.

Is it better to apply for Medicare online or in person?

Online (at Social Security) – It's the easiest and fastest way to sign up and get any financial help you may need. (You'll need to create your secure my Social Security account to sign up for Medicare or apply for benefits.)

Can you refuse Medicare when you turn 65?

Because if you're already receiving Social Security or railroad benefits, you'll be automatically enrolled in Medicare Parts A and B when you turn 65. You can choose to opt out of Part B, but you'll likely be penalized and have to pay a higher premium if you decide to enroll later.

Which is the cheapest health insurance for senior citizens?

Medicare is the cheapest health insurance with the best benefits for people age 65 and older or who have a qualifying disability.

Can you have Medicare without taking Social Security?

You can still apply for Medicare online even if you are not ready to apply for Social Security retirement benefits. NOTE: We automatically enroll people who already get Social Security retirement or disability benefits in Parts A and B.

Why would someone not qualify for Medicare?

Why might a person not be eligible for Medicare Part A? A person must be age 65 years or older to qualify for Medicare Part A. Unless they meet other requirements, such as a qualifying disability, they cannot get Medicare Part A benefits before this age.

How long does it take for Medicare to be approved?

Applications for Medicare Parts A and B can take four to eight weeks to be approved. If you apply for both at the same time, they're usually approved together. Private insurance companies offer Medicare Advantage, Medicare Part D and Medigap plans and process their own applications, so wait times may be shorter.

Who is exempt from Social Security?

Foreign students and educational professionals in the U.S. on a temporary basis don't have to pay Social Security taxes. Nonresidents working in the U.S. for a foreign government are exempt from paying Social Security taxes on their salaries. Their families and domestic workers can also qualify for the exemption.

At what age is Social Security no longer taxed?

Social Security income can be taxable no matter how old you are. It all depends on whether your total combined income exceeds a certain level set for your filing status. You may have heard that Social Security income is not taxed after age 70; this is false.

Can you refuse Social Security?

If you apply for benefits and we have not yet determined that you are entitled, you may voluntarily suspend benefits for any month you have not received a payment. If you are already entitled to benefits, you may voluntarily suspend retirement benefit payments up to age 70.