Key Takeaways
Is Medicare Part A Free?
Is My Income Used To Determine the Cost Of Part B?
What About My Medications?
Are There Deductibles and Cost Sharing?
Medicare Part A (Hospital Insurance) costs
Part A monthly premium
Most people don’tpay a Part Apremium because they paid Medicare taxes while working. If you don’t get premium-free Part A, you pay up to $565 each month. If you don’t buy Part A when you’re first eligible for Medicare (usually when you turn 65), you might pay a penalty.
Hospital inpatient stay
In 2026, youpay:
• $1,736 deductible per benefit period
• $0 for the first 60 days of each benefit period (after you pay the deductible)
• $434 per day for days 61–90 of each benefit period
• $868 per “lifetime reserve day” after day 90 of each benefit period (up to a maximum of 60 days over your lifetime)
• All costs for each day after day 150 of the benefit period
Skilled Nursing Facility stay
In 2026, you pay:
• $0 for the first 20 days of each benefit period
• $217 per day for days 21–100 of each benefit period
• All costs for each day after day 100 of the benefit period
Medicare Part B (Medical Insurance) costs
Part B monthly premium
Most people paythe standard Part B monthly premium amount ($202.90 in 2026). Social Security will tell you the exact amount you’ll pay for Part B in 2026.
You pay the standard premium amount if you:
• Sign up for Part B for the first time in 2026.
• Don’t get Social Security benefits.
• Are directly billed for your Part B premiums.
• Have Medicare and Medicaid, and Medicaid pays your premiums.
(Your state will pay the standard premium amount of $202.90 in 2026.)
Most people don’tpay a Part Apremium because they paid Medicare taxes while working. If you don’t get premium-free Part A, you pay up to $565 each month. If you don’t buy Part A when you’re first eligible for Medicare (usually when you turn 65), you might pay a penalty.
If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you’ll pay the standard Part B premium and an income-related monthly adjustment amount.
| File individual tax return | File joint tax return | File married & separate tax return | You pay each month (in 2026) |
|---|---|---|---|
| $109,000 or less | $218,000 or less | $109,000 or less | $202.90 |
| Above $109,000 up to $137,000 | above $218,000 up to $274,00О | not applicable | $284.10 |
| Above $137,000 up to $171,000 | above $274,000 up to $342,000 | not applicable | $405.80 |
| Above $171,000 up to $205,000 | above $342,000 up to $410,000 | not applicable | $527.50 |
| Above $205,000 and less than $500,000 | above $410,000 and less than $750,00О | above $109,000 and less than $391,000 | $649.20 |
| $500,000 or above | $750,000 or above | $391,000 or above | $689.90 |
If you have questions about your Part B premium, call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778. If you pay a late enrollment
penalty, these amounts may be higher.
2026 Part B deductible—$283 before Original Medicare starts to pay
You pay this deductible once each year.
Medicare Advantage Plans (Part C) Premiums
Medicare Drug Coverage (Part D) Premiums
The chart below shows your estimated drug plan monthly premium based on your income. If your income is above a certain limit, you’ll pay an income-related monthly adjustment amount in addition to your plan premium.
| File individual tax return | File joint tax return | File married & separate tax return | You pay each month (in 2026) |
|---|---|---|---|
| $109,000 | $218,000 or less | $109,000 or less | Your plan premium |
| Above $109,000 up to $137,000 | above $218,000 up to $274,000 | not applicable | $14.50 + your plan premium |
| Above $137,000 up to $171,000 | above $274,000 up to $342,000 | not applicable | $37.50 + your plan premium |
| Above $171,000 up to $205,000 | above $342,000 up to $410,00О | not applicable | $60.40 + your plan premium |
| Above $205,000 and less than $500,000 | above $410,000 and less than $750,000 | above $109,000 and less than $391,000 | $83.30 + your plan premium |
| $500,000 or above | $750,000 or above | $391,000 or above | $91.00 + your plan premium |
2026 Part D national base premium-$38.99
Medicare uses the national base premium to estimate the Part D late enrollment penalty and the income-related monthly adjustment amounts listed in the table above. The national base amount can change each year. If you pay a late enrollment penalty, your total premium amount may be higher.
For detailed information
- Visit Medicare.gov/basics/costs/medicare-costs to get more detailed Medicare cost information by service.
- Visit Medicare.gov/basics/costs/medicare-costs/avoid-penalties to learn how to avoid late enrollment penalties.
- Call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
