What if I don't want Medicare Part B?

Asked by: Stewart Hoeger  |  Last update: July 25, 2025
Score: 4.8/5 (5 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.

Can I refuse Medicare Part B if I have?

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.

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.

What is the penalty for refusing Medicare Part B?

Medicare Part B penalty: Your penalty will be an extra 10% of your premium for each year you could've enrolled. If you missed your enrollment period by two years, you'll have to pay your penalty for two years.

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).

If You Were Dropped From Medicare Part B Due to Non-Payment, How Can You Fix It?

40 related questions found

Why are hospitals refusing Medicare Advantage plans?

Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers. In 2023, Becker's began reporting on hospitals and health systems nationwide that dropped some or all of their Medicare Advantage contracts.

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 to avoid paying Medicare Part B?

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.

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).

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.

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.

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.

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).

Does a person really need Medicare Part B?

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 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.

Is Medicare Part B mandatory at age 65?

1. If You Are Approaching or at Age 65. If you are approaching age 65 and you already receive Social Security or Railroad Retirement benefits through early retirement, you will be automatically enrolled in Medicare Parts A (hospital insurance) and B (medical insurance) when you turn 65.

How do I decline Part B of Medicare?

To find out more about how to terminate Medicare Part B or to schedule a personal interview, contact us at 1-800-772-1213 (TTY: 1-800-325-0778) or visit your nearest Social Security office.

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.

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 can I get instead of 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.

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

Part B late enrollment penalty

You'll pay an extra 10% for each year you could have signed up for Part B, but didn't. You may also pay a higher premium depending on your income.

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 to qualify for free 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 ...

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.