Updated 12/04/2012 12:04 PM   |   ID# 1499

Terminate enrollment with Medicare Part B

How do I terminate my enrollment with Medicare Part B when I have other health insurance?


If you wish to terminate your enrollment, talk to us and we will help you submit a signed request for termination or Form CMS-1763.  Termination is a serious decision if you wish to re-enroll later, you may have to pay a surcharge.  

The Centers for Medicare and Medicaid Services (CMS) requires, when possible, a personal interview be conducted with everyone who wishes to terminate entitlement.  Therefore, we do not offer form CMS-1763 online.  We will help you fill out the form in-person or on the phone so we can make sure you understand the consequences of termination. 

After the interview, a Social Security representative will give you a letter outlining the consequences of voluntary termination, the date your coverage will end and of the right to withdraw the termination request before coverage ends. 

Termination of Medicare Part B will be effective at the end of the month following the month that you file the termination request.

For an interview, you can call us at 1-800-772-1213 (TTY 1-800-325-0778) 7 a.m. to 7 p.m., Monday through Friday or contact your local Social Security office.

 

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