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Can I opt out of Social Security Medicare Part D premium if I already have prescription coverage?

I just started receiving my Social Security retirement benefits last month and got a letter yesterday saying they're automatically deducting $13.80 monthly for Medicare Part D (prescription coverage). The problem is I already have comprehensive prescription coverage through my Medicare Supplement plan that I'm paying for separately! This seems like I'm paying twice for the same thing. Can I decline the Part D coverage and stop these automatic deductions? Do I need to send SSA a formal letter with proof of my existing coverage? Has anyone successfully opted out of this? I'm on a fixed income now and every dollar counts!

Omar Hassan

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You might be confused about what coverage you actually have. Medicare Supplement plans (Medigap) don't typically include prescription coverage - that's what Part D is for. What you probably have is a Medicare Advantage plan that includes prescription coverage, which is different from a Supplement plan. If that's the case, you definitely don't need both and should opt out of one.

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Maybe I'm using the wrong terms. I have Blue Cross Blue Shield supplemental insurance that specifically lists prescription coverage. The paperwork says it works with Medicare but covers prescriptions. So I don't need two different prescription plans, right?

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i had the same exact thing happen!! ended up calling SSA for like 3 days straight before getting someone on the phone. turns out you need to fill out a form to decline part D if you have "creditable coverage" already. the premium is just the standard amount for 2025 btw

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Diego Chavez

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Yep, and be careful about declining Part D without having creditable coverage - they'll charge you penalties later if you ever need to enroll! The penalties add up for every month you don't have prescription coverage.

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NeonNebula

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This is a common misunderstanding. Let me clarify a few things: 1. What you likely have is either a Medicare Advantage plan (Part C) that includes prescription coverage OR a Medigap policy plus a separate Part D plan. 2. True Medicare Supplement (Medigap) policies do NOT include prescription coverage - that's what Part D is for. 3. If you do have duplicate coverage, you should contact the Social Security Administration directly to disenroll from the Part D plan. You'll need to complete form CMS-1763 (Request for Termination of Premium Hospital and/or Supplementary Medical Insurance). 4. IMPORTANT: Make absolutely certain your other coverage is considered "creditable coverage" by Medicare standards before canceling Part D, or you may face significant penalties if you need to re-enroll later. I'd recommend calling your BCBS plan first to confirm exactly what type of plan you have and if it meets Medicare's "creditable coverage" standard for prescriptions.

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Thank you for the detailed explanation! I'll call BCBS tomorrow to confirm what type of coverage I actually have. I definitely don't want to make a mistake that could lead to penalties later. Do you know if there's a deadline for submitting that form after starting Medicare?

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OMG the Medicare system is SO CONFUSING!! I've been on it for 3 years and still don't understand all the parts and letters and what covers what. I thought I was saving money by NOT signing up for Part D since my former employer gave me retiree prescription coverage but then they dropped it and now I'm paying a PENALTY every month on top of my Part D premium!!! The system is designed to confuse seniors I swear.

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Sean Kelly

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Couldn't agree more! My mom went through something similar and it was a nightmare. The whole Medicare system is ridiculously complicated with all these different parts and plans and supplements. And good luck getting straight answers from anyone at Social Security or Medicare. Sometimes I think they make it confusing on purpose so we'll just give up and pay whatever they tell us to pay.

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Zara Mirza

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I had a similar issue and spent WEEKS trying to reach someone at Social Security. After getting disconnected multiple times, I discovered a service called Claimyr (claimyr.com) that got me connected to an actual person at SSA in about 20 minutes. They have a video showing how it works: https://youtu.be/Z-BRbJw3puU Once I actually spoke with someone, they explained I needed to provide proof that my other coverage was "creditable" (meaning it's at least as good as Medicare's standard coverage). My insurance provider had to send me a "Certificate of Creditable Coverage" letter that I submitted to Social Security. It took about 3-4 weeks to process, but they did stop the Part D premium deductions.

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Thanks for the tip about Claimyr - I'll check it out if I can't get through. Did SSA refund the premiums they already deducted once you got it straightened out?

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Zara Mirza

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Yes, they did eventually refund the premiums they took, but it took another billing cycle. The agent told me it was easier to reach them directly about Medicare issues by calling early in the morning (right when they open) on Wednesday or Thursday. Apparently those are the least busy times.

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Diego Chavez

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Just want to add that the $13.80 is actually the base Part D premium for 2025, but depending on your income from 2 years ago, you might have an additional Income-Related Monthly Adjustment Amount (IRMAA) added. If your income has gone down since then, you can file for a reconsideration of the IRMAA using Form SSA-44.

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NeonNebula

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This is an excellent point about IRMAA. For 2025, the income thresholds for additional Part D premium amounts start at $103,000 for individuals and $206,000 for married couples filing jointly (based on 2023 tax returns). There are five income tiers with progressively higher surcharges. The SSA-44 form for reconsideration is specifically for life-changing events like retirement, death of a spouse, divorce, etc. that significantly reduced your income.

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anyone else think its weird they just automatically sign u up for this?? like they don't even ask if u want it or already have something else? social security just decides for u and starts taking ur money

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EXACTLY!!! And then if you don't realize what's happening right away they make it SO DIFFICULT to fix it! My neighbor had duplicate coverage for 8 MONTHS before she figured it out and SSA would only refund 3 months of premiums. CRIMINAL if you ask me!!!!

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Sean Kelly

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You should check your Medicare paperwork very carefully. When you first signed up for Medicare, you had choices to make about Part D coverage. If you didn't specifically decline Part D, you might have been automatically enrolled in a plan. My advice is to call the number on your Medicare card and ask for clarification about what plans you're currently enrolled in before making any changes.

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Thank you - I'll double check all my paperwork. I remember signing up for Medicare when I turned 65 but I honestly don't recall if I specifically declined Part D because I thought my supplemental plan covered it. Medicare is so confusing!

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