✦ UNDERSTANDING MEDICARE COSTS

Medicare Costs Are More Than a Monthly Premium.

Premiums, deductibles, coinsurance, prescriptions and the coverage option you choose can all affect what Medicare costs you throughout the year.

Understanding the full picture can help you compare your options more confidently and plan for healthcare expenses in retirement.

✓ Premiums
✓ Deductibles
✓ Out-of-Pocket Costs
Retired couple reviewing Medicare costs together
$202.90 2026 Standard Part B Premium
$283 2026 Part B Deductible
20% Typical Part B Coinsurance
✦ 2026 MEDICARE COST SNAPSHOT

Original Medicare By the Numbers.

These are several of the major 2026 Original Medicare costs. Your actual total healthcare spending will depend on the services you use and any additional coverage you choose.

A
PART A
$1,736

Inpatient Hospital Deductible

The 2026 Part A inpatient hospital deductible applies per benefit period.

B
PART B
$202.90

Standard Monthly Premium

Most beneficiaries pay the standard Part B premium, although higher-income beneficiaries may pay more.

$
PART B
$283

Annual Deductible

The annual Part B deductible generally must be met before Medicare begins sharing the cost of many covered services.

%
PART B
20%

Typical Coinsurance

After meeting the Part B deductible, you generally pay 20% of the Medicare-approved amount for many covered services.

i
Part A is premium-free for most people. Most beneficiaries do not pay a monthly Part A premium because they or a spouse paid Medicare taxes long enough while working.
✦ WHAT ORIGINAL MEDICARE CAN COST

Part A and Part B Work Differently.

Hospital coverage and medical coverage each have their own premiums, deductibles and cost-sharing rules.

A
HOSPITAL INSURANCE

Medicare Part A

Premium $0 for most people
Hospital Deductible $1,736 per benefit period in 2026
Longer Hospital Stays Daily coinsurance may apply after the first 60 days of a Medicare-covered inpatient hospital stay.
Skilled Nursing Cost sharing may apply for extended skilled nursing facility stays.
B
MEDICAL INSURANCE

Medicare Part B

Monthly Premium $202.90 standard premium in 2026
Annual Deductible $283 in 2026
Coinsurance Generally 20% for many Medicare-covered services after the deductible.
Higher-Income Costs IRMAA can increase monthly Part B premiums.
20% YOUR SHARE
Medicare generally pays 80%
You generally pay 20%
✦ THE PART B COINSURANCE GAP

That 20% Can Matter.

After the Part B deductible, Original Medicare generally pays 80% of the Medicare-approved amount for many covered outpatient services, leaving you responsible for the remaining 20%.

The important part is that Original Medicare itself does not have a yearly out-of-pocket maximum. That means your total costs can depend heavily on how much healthcare you use during the year.

!
Original Medicare has no annual out-of-pocket maximum. Supplemental coverage or Medicare Advantage can change how your out-of-pocket exposure is structured.
✦ THE REST OF THE COST PICTURE

Your Medicare Costs Don't End With Parts A and B.

Prescription coverage, supplemental coverage and the way you choose to receive Medicare can all affect your monthly and annual healthcare costs.

Rx

Part D

Standalone prescription drug plans can have their own premiums, deductibles and medication cost sharing.

MA

Medicare Advantage

Medicare Advantage plans may have premiums, copays, coinsurance and a yearly maximum on covered Medicare services.

G

Medicare Supplement

Medigap policies have a monthly premium but can help cover certain out-of-pocket costs left by Original Medicare.

MSA

Medicare MSA

MSA plans combine a high-deductible Medicare Advantage plan with a plan-funded savings account.

+

Hospital Indemnity

Some people use additional coverage to help manage certain hospital-related out-of-pocket expenses.

$

Your Healthcare Use

The doctors you see, prescriptions you take and services you need can ultimately have the biggest impact on total spending.

✦ WHEN INCOME AFFECTS MEDICARE COSTS

What Is IRMAA?

Higher-income Medicare beneficiaries may pay an additional amount on top of their Part B and Part D costs. Use the estimator below to see how the 2026 IRMAA rules may apply based on your 2024 income.

$

Income-Related Monthly Adjustment Amount

IRMAA is an additional Medicare premium amount that may apply to Medicare Part B and Part D based on modified adjusted gross income.

2

Medicare Generally Looks Back Two Years

For 2026 Medicare premiums, Social Security generally uses income reported on your 2024 federal tax return.

↘

A Major Income Change Can Matter

Retirement or certain other qualifying life-changing events may allow you to request a new IRMAA determination.

2026 QUICK FACTS
Standard Part B Premium $202.90
Highest Part B Premium $689.90
Highest Part D IRMAA $91.00
2026 IRMAA ESTIMATOR

Estimate Your Medicare Income Adjustment

Enter your filing status and 2024 modified adjusted gross income to estimate your 2026 Medicare IRMAA.

$
Medicare generally uses income from two years earlier.
MAGI generally starts with Adjusted Gross Income and includes certain tax-exempt interest used for Medicare IRMAA calculations.
$

Your Estimate Will Appear Here

Enter your filing status and 2024 income, then select Calculate My 2026 IRMAA.

!
This calculator provides an estimate only.

Social Security determines your actual IRMAA using tax information supplied by the IRS. Your Part D plan premium is separate from the Part D IRMAA shown here. Filing status, tax circumstances and qualifying life-changing events may affect your actual Medicare premiums.

Retired couple reviewing Medicare expenses with an advisor
✦ LOOK BEYOND THE PREMIUM

The Lowest Premium Isn't Always the Lowest Total Cost.

A plan can look inexpensive on the surface and still become costly depending on prescriptions, copays, provider use and other out-of-pocket expenses.

That's why we compare more than the monthly premium. We look at how the coverage may actually work based on the healthcare you expect to use.

✓ Premiums
✓ Deductibles
✓ Copays & Coinsurance
✓ Prescription Costs
✓ Provider Usage
✓ Out-of-Pocket Exposure
COMPARE MY MEDICARE COSTS →
Medicare guide interior
Medicare guide table of contents
Understanding Medicare 2027 Edition
✦ COMPLIMENTARY 2027 MEDICARE GUIDE

Want the Big Picture?

Understanding what Medicare may cost is about more than just the monthly premium. See how premiums, deductibles, copays, coinsurance and other costs fit into the bigger Medicare picture.

Our complimentary Understanding Medicare — 2027 Edition guide walks you through Medicare in clear, straightforward language.

✓ Medicare Costs Explained Understand premiums, deductibles and cost sharing.
✓ Coverage Options Compared See how Medicare choices can change your cost structure.
✓ Helpful Planning Information Build a clearer picture of retirement healthcare costs.
GET THE FREE 2027 GUIDE →
✦ LET'S LOOK AT YOUR NUMBERS

What Could Medicare Actually Cost You?

Medicare costs are personal. Your income, medications, healthcare use and coverage choices all affect the final picture.

We'll help you compare the major cost factors so you can understand your options before making a decision.

No cost. No obligation. Just clear Medicare guidance.
WE'LL HELP YOU REVIEW
$ Monthly Premiums
% Deductibles & Coinsurance
Rx Prescription Costs
✓ Total Cost Exposure

We may not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.