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Costs

What you pay for Medicare will vary based on what coverage and services you get, and what providers you visit. What are my coverage options?

There's no yearly limit on what you pay out-of-pocket, unless you have supplemental coverage, like a

Medicare Supplement Insurance (Medigap)policy, or you join a Medicare Advantage Plan.

 

Part A (Hospital Insurance) costs

Part A Costs:                                                                        What you pay in 2025:

Premium

$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 $285 or $518 each month for Part A, depending on how long you or your spouse worked and paid Medicare taxes.

Remember:

Deductible

$1,676 for each inpatient hospital benefit period, before Original Medicare starts to pay.

There’s no limit to the number of benefit periods you can have in a year. This means you may pay the deductible more than once in a year.

Inpatient stay

  • Days 1-60: $0 after you pay your Part A deductible.
  • Days 61-90: $419 each day.
  • Days 91-150: $838 each day while using your 60 lifetime reserve days.

After day 150: You pay all costs.

Skilled nursing facility stay 

  • Days 1-20: $0.
  • Days 21-100: $209.50 each day.
  • Days 101 and beyond: You pay all costs.

Home health care 

$0 for covered 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 covered hospice care services.

You may also pay:

A copayment of up to $5 for each prescription drug and other similar products for pain relief and symptom control while you're at home.
 

5% of the Medicare-approved amount for inpatient respite care.

 

Part B (Medical Insurance) costs

Part B costs:

What you pay in 2025:

Premium

$185 each month (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.

 

 

Who pays a higher Part B premium because of income?

You’ll pay the higher premium if your modified adjusted gross income, as reported on your IRS tax return from 2 years ago, is more than:

  • $106,000 in 2025, if you file an individual tax return or are married and file separately
  • $212,000 in 2025, if you are married and file a joint tax return

Social Security will tell you if you have to pay a higher premium because of your income. If you've had a life-changing event that reduced your household income, you can ask Social Security to lower the additional amount you'll pay

If your yearly income in 2023 (for what you pay in 2025) was

File individual tax return

File joint tax return

File married & separate tax return

You pay each month (in 2025)

$106,000 or less

$212,000 or less

$106,000 or less

$185.00

above $106,000 up to $133,000

above $212,000 up to $266,000

Not applicable

$259.00

above $133,000 up to $167,000

above $266,000 up to $334,000

Not applicable

$370.00

above $167,000 up to $200,000

above $334,000 up to $400,000

Not applicable

$480.90

above $200,000 and less than $500,000

above $400,000 and less than $750,000

above $106,000 and less than $394,000

$591.90

$500,000 or above

$750,000 or above

$394,000 or above

$628.90

 

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. Find out how the Part B penalty works and how to avoid it.

Deductible

$257 before Original Medicare starts to pay. You pay this deductible once each year.

 

General costs for services (coinsurance)

Usually 20% of the cost for each Medicare-covered service or item after you’ve paid your deductible (and as long as your doctor or health care provider accepts the

Medicare-approved amount as full payment – called “accepting assignment”). Find out how assignment affects what you pay.

 

Clinical laboratory services

$0 for covered clinical laboratory services.

 

Home health care

  • $0 for covered home health care services.
  • 20% of the Medicare-approved amount for durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment).

Clinical laboratory services

  • $0 for covered clinical laboratory services.

 

Inpatient hospital care

  • 20% of the Medicare-approved amount for most doctor services while you’re a hospital inpatient.

Outpatient mental health care

  • $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 care

After you meet the Part B deductible:

  • 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 care

  • 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.

This additional hospital copayment means you may pay more for an outpatient service you get in a hospital than you’d pay if you got the same service in a doctor’s office.

Compare outpatient procedure costs under Original Medicare.

 

Get help with Part A & Part B costs
If you have limited income and resources, you may be able to get help from your state to pay your premiums and other costs. Learn more about help with costs.

 

Medicare Advantage Plan (Part C) costs

Medicare Advantage Plan costs:

 

What you pay in 2025:

Premiums & other costs (like deductibles, copayments, & coinsurance)

Varies by plan. These amounts can change each year.

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

 

Compare costs for specific health care plans.

 

Out-of-pocket limit

Varies by plan. Once you pay the plan’s limit, the plan pays 100% of your covered health services for the rest of the calendar year.

Learn more about Medicare Advantage Plans.

 

 

Part D (Drug Coverage) costs

Part D costs:

What you pay in 2025:

 

Premium

Varies by plan. You may have to pay more, depending on your income.

 

Avoid paying a penalty:

  • Join a Medicare drug plan when you first get Medicare Part A and/or Part B, and
  • Don’t go 63 days or more without

creditable drug coverage

 (coverage that’s similar in value to Part D).

 

Find out more about the Part D penalty.

 

Deductibles, copayments, & coinsurance

Varies by plan and pharmacy. Find Medicare drug plans in your area, and compare their costs and coverage.

 

Get help with drug costs
If you have limited income and resources, you may be able to get Extra Helpto pay your plan premiums and other drug costs. If you qualify, you won’t have to pay the Part D late enrollment penalty. Learn more about help with costs.

Learn more about Part D.

 

Medicare Supplemental Insurance (Medigap)

Medigap costs:

What you pay in 2025:

Premium

Varies based on which Medigap policy you buy, where you live, and other factors. The amount can change each year.

 

You must have Part B and keep paying your Part B premium to keep your Medigap policy.

 

Other costs

  • Medigap usually helps pay your portion of the costs (like deductibles and coinsurance) for services that Part A and Part B cover in Original Medicare. The amount you’ll pay for Part A and Part B services if you have a Medigap policy varies depending on the policy you buy.

Some Medigap policies include extra benefits to lower your costs, like coverage when you travel out of the country.

Learn more about Medigap and its costs.