Can I Decline Part A Medicare? 
You can decline Medicare part A with several restrictions . You can not get Medicare part B without having part A. Additionally , you will face a significant penalty for signing up after age 65 if you do decline Medicare part A . The one time individuals should decline Medicare part A is if they continue to work beyond age 65 and have employer provided health insurance . In that circumstance , the individual can sign up for Medicare when they retire , leave the company , or lose employer coverage with no penalty . Contact your company HR or local Social Security office for details . The company will normally provide a document to the Social Security Administration that the individual have employer coverage up until a certain date . It is important to start the process at least three months prior to your retirement . 