 [ Symptoms ] i will be turning 65 in december  upon applying for medicare i received a notice that i will be billed for part b at 104month each quarter is this mandatory what if i do not have the funds to pay for this i have not had a full time job since 2008  is medicare all that i need to fulfill the insurance requirement [ Disease ] you do not have to sign up for medicare part b but you will be missing important medical coverage if you do not part b helps pay for outpatient services such as doctor visits also if you do not sign up when you are first eligible and decide to do so at a later time you will pay a penalty that will stick with you for life if you can not afford coverage you should contact someone who can help you apply for a program that will cover those costs if you qualify visit the medicare gov medicare helpful contacts page or call 1 800 medicare 1 800 633 4227 for personalized help