Original Medicare is health insurance for Americans aged 65 and older, or under 65 with certain health conditions. Today we’ll discuss the different cost-sharing associated with the different parts of Medicare. After that, we’ll go over some frequently asked questions. Finally, we’ll cover how to get help with Medicare plans to offset some of the costs associated with Medicare.

How Much Does Medicare Cost Per Month?

Medicare has four parts. Each part has different costs and benefits. Next, we’ll differentiate between the parts of Medicare and the costs that relate to each part. These costs are based on , and are subject to review and change annually by the Centers for Medicare and Medicaid Services.

How Much Does Medicare Part A Cost?

For the vast majority of Medicare beneficiaries, Part A (inpatient coverage) will have a zero-premium. This is called premium-free Part A. This was paid as tax deductions from your paycheck throughout your working years. If you did not work at least 10 years, sometimes referred to as 40 quarters, you will pay for your Part A.

The cost for Part A will depend on how many quarters you worked and paid into the Medicare system. If you have not worked or paid in at all, you’ll be responsible for the entire $499 a month. For those who worked at least 30 quarters, your monthly premium will be $274 monthly.

If you did not work, but your spouse worked 40 quarters, you may also qualify for a zero-premium for Part A.

Part A hospital insurance costs include a per benefit period deductible and a fixed daily cost once you hit your 61st day in the hospital. From days 61 to 90, there is a per-day copay of [GCBB#part-a-inpatient-coinsurance-days-61-90]. If you use up your lifetime reserve days you’ll pay [GCBB#part-a-inpatient-coinsurance-days-91-120] each day in the hospital thereafter.

Daily Coinsurance$0$389$778100%

If you need skilled nursing, you’ll not have to pay for the first 20 days. You’ll have a per day copay from days 21 through 100 of $194.50 a day. There is no coverage for days 101 or after.

How Much Does Medicare Part B Cost?

Most people will pay a monthly standard premium for Medicare Part B. Medicare beneficiaries will pay $170.10 in . These costs can vary depending on how much income you have.

If you are on the lower end of the income spectrum, you may qualify for a Medicare program that will pay your Part B (medical insurance) premium for you. If you’re considered higher-income, there will be an Income Related Monthly Adjustment Amount or IRMAA.

The Income Related Monthly Adjustment Amount is based on your income from two years prior.
File individual tax returnFile joint tax returnFile married & separate tax returnYou pay each month in 2022
$91,000 or less$182,000 or less$91,000 or less$170.10
$91,000 to $114,000$182,000 to $228,000Not applicable$238.10
$114,000 to $142,000$228,000 to $284,000 Not applicable$340.20
$114,000 to $142,000$228,000 to $284,000Not applicable$442.30
$170,000 to $500,000$340,000 to $750,000 $91,000 to $409,000$544.30
$500,000 or above $750,000 or above $409,000 or above $578.30

For Part B outpatient services you’ll pay an annual deductible and then 20% of the cost and any excess charges. An excess charge is an up to 15% charge on top of the Medicare-approved amount.

How Much Does Medicare Part C Cost?

Part C is also called Medicare Advantage. If you elect to enroll in a Medicare Advantage plan, it’ll take over your Medicare Parts A, B, and in most cases D. These all-in-one plans are another way to receive your Medicare Benefits. You must continue to pay your Part A and B costs in order to enroll in Part C.

The costs for Medicare Part C will vary depending on where you live. In many areas, there are options with a zero-dollar plan premium. But they can also be more than $100 a month.

In addition to the premium amount, you can expect to pay co-pays, deductibles, or coinsurance depending on the service. Since these plans aren’t standardized all coverage and costs could be different. Be sure to review your summary of benefits from the plan to ensure you know the costs.

How Much Does Medicare Part D Cost?

Medicare Part D plans are prescription drug coverage for Medicare. Similar to the Part C of Medicare, these costs will vary based on where you live. The average Part D premium is around $33.

Other drug plan costs associated with Medicare Part D could be deductible. The deductible is up to $480 if applicable. Once the deductible is met you will have copays or coinsurance for your prescriptions as you pick them up from the pharmacy.


What is the base cost of Medicare?

The base cost for Part A is $499 a month. The Base cost for Part B is $170.10. Medicare Parts C and D do not have a base cost, as the insurance company will set those costs.

How much does Medicare cost at age 65?

For most Medicare beneficiaries, Part A will have a zero premium. Part B will cost $170.10 monthly.

How much will Medicare cost in 2022?

In the Medicare Part B premium will be $170.10 for new Medicare beneficiaries. In addition, the Part A deductible is $1,556, and the Part B deductible is $233. These costs are evaluated annually by the Centers for Medicare and Medicaid Services.

How much does Medicare cost if you’re still working?

Your Medicare costs will be the same regardless of if you continue to work, assuming you have already met your 40 quarters. If you’re not drawing social security, you should expect a quarterly bill for your Medicare Part B premium.

How much does Medicare cost for a married couple?

Medicare is individual coverage, not spousal or family coverage. The costs will simply be multiplied by two. For example, Medicare Part B has a deductible of $170.10, for both members of the household the cost will be $170.10 times two.

What is a Medicare cost plan?

Medicare cost plans are offered by private insurance companies in certain areas of the United States. They supplement costs left over by Original Medicare similar to a Medigap Plan. These style plans work like a blend between Medicare and Medicare Advantage. Unlike Medicare Advantage, you can join at any time the plan is accepting clients and can return to Original Medicare at any time.

Is Medicare premium based on income?

Yes! Your Medicare premiums are affected by your income. The higher the income the higher the adjusted amount is. This typically has a lookback of two years.

Why is Medicare so expensive?

Healthcare is one of the most expensive costs in the United States. If you have paid your Medicare taxes for at least 40 quarters the cost isn’t as high. Enrolling in certain Medicare Advantage plans can lower your costs.

How to Get Help with Your Medicare Costs

Medicare costs can be overwhelming but you have help. We’re here to assist you in finding ways to offset the costs and fill the gaps. We have access to every option available for Medicare beneficiaries. Our Medicare experts will be able to guide you through the entire process step by step.

Not only will we educate you on Medicare and your options, but we’ll also show you how to ensure you have the right plan for you and even help you enroll. Just give us a call, or fill out our online request form.

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by Lindsay Malzone, Lindsay Malzone is the Medicare expert for Medigap.com. She's been contributing to many well-known publications as an industry expert since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.