Termination of Enrollment

Individuals entitled to premium-free Part A cannot voluntarily terminate their Part A coverage. This is not permitted by law. Generally, premium-free Part A ends due to:

Loss of entitlement to Social Security or Railroad Retirement Board benefits; or

Death.

There are special rules for when premium-free Part A ends for people with ESRD.

Premium Part A and Part B coverage can be voluntarily terminated because premium payments are required. Premium Part A and Part B coverage ends due to:

Voluntary disenrollment request (coverage ends prospectively);

Failure to pay premiums;

For individuals under age 65 (disabled and ESRD), loss of Part A entitlement (Part B terminates at the same time as Part A); or

Death.

For individuals who want to disenroll from Premium Part A and Part B coverage, use form CMS-1763 in the downloads section of this page.