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It is rare. I only come across it when I run into someone still working at 65 who wants to keep employer coverage but has drug coverage at work that does not meet Medicare’s minimum standard. They will take Parts A and D, wait on B and get an SEP for it at retirement.Well he didn’t exactly say part D but I hope for his sake he meant part c and supps.
And you’ll never see someone, at least I haven’t, want part d but refuses part B.