Can seniors avoid paying for Medicare Part B?

Medicare Part B premiums have risen to $185 monthly in 2025, posing challenges for seniors on fixed incomes. Most cannot avoid paying Part B, but those still working with employer coverage can delay enrollment without penalty. Low-income seniors may qualify for programs that help cover premiums. However, skipping Part B can limit access to supplemental plans and increase out-of-pocket costs, making enrollment generally advisable.