As described above, Medicare Savings Programs cover the cost of Part B for eligible Medicare beneficiaries, but they’re generally only available to people with low incomes and asset levels. If you’re not eligible for a Medicare Savings Program, you’ll likely have to pay the premium for Medicare Part B.
But there are a couple of exceptions: If you or your spouse are continuing to work and the employer offers an ICHRA or QSEHRA, they can reimburse you for the cost of Part B. And if you select a Medicare Advantage program with a “giveback” rebate, your premium for Part B will be reduced or eliminated. (It’s more common for these programs to offset just a portion of the Part B premium, but it’s possible for them to cover all of it. Note that most Medicare Advantage plans do not offer giveback rebates, but some do).