If you first become eligible for Medicare in 2020, you must pay the Part B deductible on your own.
A change in the Medicare supplement insurance deductible rules took effect Wednesday, after years of waiting and planning. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) now forbids many consumers from buying new Medicare supplement insurance policies that pay the Medicare Part B deductible.
The 2020 Medicare Part B deductible is $198. The MACRA change means that the consumers who are affected by the change must pay the $198 Medicare Part B deductible themselves, without help from their Medicare supplement insurance coverage.