MEDICARE COSTS AT A GLANCE

Part A premium

Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A"). If you don’t qualify for premium-free Part A: You might be able to buy it. You’ll pay either $278 or $506 ($278 or $505 in 2024) each month for Part A, depending on how long you or your spouse worked and paid Medicare taxes.

Part A hospital inpatient deductible and coinsurance You pay:

• $1,600 ($1,632 in 2024) deductible for each benefit period

• Days 1-60: $0 after you pay your Part A deductible.

• Days 61-90: $400 ($408 in 2024) coinsurance per day of each benefit period

• Days 91 and beyond: $800 ($816 in 2024) coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)

• Beyond lifetime reserve days: all costs

The standard Part B premium amount is $164.90 each month ($174.70 in 2024)(or higher depending on your income).

The Deductible is $226 ($240 in 2024). After your deductible is met, you typically pay 20% of the 

Medicare-Approved Amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and durable medical equipment (dme)

Part C premium

The Part C monthly premium varies by plan. Compare costs for specific Part C plans.

Part D premium

The Part D monthly premium varies by plan (higher-income consumers may pay more). Compare costs for specific Part D plans.

Detailed Medicare cost information for 2023/2024

expand Medicare Part A (Hospital Insurance) costs

• Monthly premium :
  
  Learn more about Part A costs.

• $0 for most people (because they or a spouse paid Medicare taxes long enough while working - generally at least 10 years). If you get Medicare earlier than age 65, you won’t pay a Part A premium. This is sometimes called “premium-free Part A.” If you don’t qualify for premium-free Part A: You might be able to buy it. You’ll pay either $278 or $506 ($278 or $505 in 2024) each month for Part A, depending on how long you or your spouse worked and paid Medicare taxes.

• Late enrollment penalty:

  • If you don’t buy Part A when you’re first eligible for Medicare (usually when you turn 65), you might pay a penalty.

Part A costs if you have Original Medicare

Note

All Medicare Advantage Plans must cover these services. If you're in a Medicare Advantage Plan, costs vary by plan and may be either higher or lower than those in Original Medicare. Review the "Evidence of Coverage" from your plan.

• Home health care

  • $0 for home health care services.

  • 20% of the Medicare-approved amount for durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment)

• Hospice care

  • $0 for hospice care.

  • You may need to pay a copayment of no more than $5 for each prescription drug and other similar products for pain relief and symptom control while you're at home. In the rare case your drug isn’t covered by the hospice benefit, your hospice provider should contact your Medicare drug plan to see if it's covered under Medicare prescription drug coverage (Part D)

  • You may need to pay 5% of the Medicare-approved amount for inpatient respite care .

  • Medicare doesn't cover room and board when you get hospice care in your home or another facility where you live (like a nursing home).

• Hospital inpatient stay

  Note

  You pay for private-duty nursing, a television, or a phone in your room. You pay for a private room unless it's medically necessary.

  • $1,600 ($1,632 in 2024) deductible for each benefit period.

  • Days 1–60: $0 after you pay your Part A deductible.

  • Days 61–90: $400 ($408 in 2024) copayment each day.

  • Days 91-150: $800 ($816 in 2024) copayment each day while using your 60 lifetime reserve days.

  • After day 150: You pay all costs.

• Mental health inpatient stay

  Note

  There's no limit to the number of benefit periods you can have when you get mental health care in a general hospital. You can also have multiple benefit periods when you get care in a psychiatric hospital. Remember, there's a lifetime limit of 190 days.

  • $1,556 ($1,600 in 2023) deductible for each benefit period .

  • Days 1–60: $0 coinsurance per day of each benefit period.

  • Days 61–90: $389 ($400 in 2023) coinsurance per day of each benefit period.

  • Days 91 and beyond: $778 ($800 in 2023)coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime).

  • Beyond lifetime reserve days : all costs.

  • 20% of the Medicare-approved amount for mental health services you get from doctors and other providers while you're a hospital inpatient.

• Skilled nursing facility stay

  • Days 1–20: $0 copayment.

  • Days 21–100: $200 ($204 in 2024) copayment each day.

  • Days 101 and beyond: You pay all costs.

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Part B

expand Medicare Part B (Medical Insurance) costs​

The standard Part B premium amount in 2023 is $164.90 each month ($174.70 in 2024) (or higher depending on your income). The amount can change each year. You’ll pay the premium each month, even if you don’t get any Part B-covered services. You might pay a monthly penalty if you don’t sign up for Part B when you’re first eligible for Medicare (usually when you turn 65). You’ll pay the penalty for as long as you have Part B. The penalty goes up the longer you wait to sign up.

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• Late enrollment penalty: 

  • In most cases, if you don't sign up for Part B when you're first eligible, you'll have to pay a late enrollment penalty. You'll have to pay this penalty for as long as you have Part B. Your monthly premium for Part B may go up 10% of the standard premium for each full 12-month period that you could have had Part B, but didn't sign up for it. Also, you may have to wait until the General Enrollment Period (from January 1 to March 31) to enroll in Part B. Coverage will start July 1 of that year.

Learn more about the Part B late enrollment penalty.

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Part B costs if you have Original Medicare

Note

All Medicare Advantage Plans must cover these services. If you're in a Medicare Advantage Plan, costs vary by plan and may be either higher or lower than those in Original Medicare. Review the "Evidence of Coverage" from your plan.

 

• Part B annual deductible:

  $226 ($240 in 2024), before Original Medicare starts to pay. You pay this deductible once each year. After you meet your deductible for the year, you typically pay 20% of the Medicare-approved amount for these:

  • Most doctor services (including most doctor services while you're a hospital inpatient)

  • Outpatient therapy

  • Durable medical equipment (DME)

• Clinical laboratory services:  You pay $0 for Medicare-approved services.

• Home health services:

  • $0 for home health care services.

  • 20% of the Medicare-approved amount for durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment).

• Outpatient mental health services:

  • $0 for your yearly depression screening.

  • 20% of the Medicare-approved amount for visits to your doctor or other health care provider to diagnose or treat your condition.

  • If you get your services in a hospital outpatient clinic or hospital outpatient department, you may have to pay an additional amount to the hospital.

• Partial hospitalization mental health services: You pay a percentage of the Medicare-approved amount for each service you get from a doctor or certain other qualified mental health professionals if your health care professional accepts assignment. You also pay coinsurance for each day of partial hospitalization services provided in a hospital outpatient setting or community mental health center, and the Part B deductible applies.

  • ​20% of the Medicare-approved amount for each service you get from a doctor or certain other qualified mental health professional

  • Coinsurance for each day of partial hospitalization services you get in a hospital outpatient setting or community mental health center

• Outpatient hospital services:

  • Usually 20% of the Medicare-approved amount for doctor and other health care providers’ services.

  • You’ll also pay a copayment to the hospital for each service you get in a hospital outpatient setting (except for certain preventive services). In most cases, your copayment won’t be more than the Part A hospital stay deductible amount.

 

 

Medicare Part C (Medicare Advantage)

 

• Monthly Premium:

  • The part C monthly premium varies by plan.

  • You must have Part B and keep paying your Part B premium to stay in your plan.

• Deductibles, copayments, & coinsurance:

  • The amount you pay for Part C deductibles, copayments, and/or coinsurance varies by plan. Look for specific Part C plan costs, and then call the plans you're interested in to get more details.

 

Medicare Part D (Medicare prescription drug coverage)

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The chart below shows your estimated prescription drug plan monthly premium based on your income as reported on your IRS tax return. If your income is above a certain limit, you'll pay an income-related monthly adjustment amount in addition to your plan premium.

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• Late enrollment penalty: 

You may owe a late enrollment penalty if, for any continuous period of 63 days or more after your Initial Enrollment Period is over, you go without one of these:

• A Medicare Prescription Drug Plan (Part D)

• A Medicare Advantage Plan (Part C) (like an HMO or PPO) or another Medicare health plan that offers Medicare prescription drug coverage

• Creditable prescription drug coverage

In general, you'll have to pay this penalty for as long as you have a Medicare drug plan. The cost of the late enrollment penalty depends on how long you went without Part D or creditable prescription drug coverage. Learn more about the Part D late enrollment penalty.

• Deductibles, copayments, & coinsurance:

  The amount you pay for Part D deductibles, copayments, and/or coinsurance varies by plan. Look for specific Medicare drug plan costs, and then call the plans you're interested in to get more details.

 

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