Medicare Advantage Plans with Part B Giveback 2027: How It Works, Who Offers It and Who Qualifies

Medicare pays the plan a set amount for each member. Plans that bid below Medicare’s benchmark get a rebate they can use for extra benefits, lower costs or a Part B premium reduction.

The plan picks a monthly amount, which can be anywhere from a few dollars up to the full Part B premium.

You get it through Social Security. The reduction is usually applied to your Social Security payment. If you pay Part B directly, your Medicare bill goes down instead.

It can take a few months to start. The first reductions may arrive late, then catch up.

You have Medicare Part A and Part B and live in the plan’s service area.

You pay your own Part B premium. If Medicaid or another program pays it for you, the reduction goes to that program instead of you.

You enroll in a plan that offers the reduction during Annual Enrollment or another valid enrollment period.

Want more money back in your Social Security check each month

Are healthy and use few medical services

Already have drug coverage or take few prescriptions

Are comfortable using a provider network

Expect frequent doctor visits or hospital stays

Want the richest dental, vision or drug benefits

Have Medicaid paying your Part B premium

Check the monthly reduction amount, since it varies by plan and county.

Compare the out-of-pocket maximum and copays. A big giveback can come with higher cost sharing.

Confirm drug coverage if you take prescriptions.

Check your doctors in the plan’s network.

Enroll on time. Medicare Open Enrollment 2027 runs October 15 to December 7, 2026.