What does Medicare Cost?

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How much does Part A cost?

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Premium-free Part A

You usually don't pay a monthly premium for Medicare Part A (Hospital Insurance) coverage if you or your spouse paid Medicare taxes for a certain amount of time while working. This is sometimes called "premium-free Part A."

Most people get premium-free Part A.

 

You can get premium-free Part A at 65 if:

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• You already get retirement benefits from Social Security or the Railroad Retirement Board.

• You're eligible to get Social Security or Railroad benefits but haven't filed for them yet.

• You or your spouse had Medicare-covered government employment.

      If you're under 65, you can get premium-free Part A if:

• You got Social Security or Railroad Retirement Board disability benefits for 24 months.

• You have End-Stage Renal Disease (ESRD) and meet certain requirements.

 

How much does Part B cost?

 

Part B Premiums

You pay a premium each month for Part B.

Your Part B premium will be automatically deducted from your benefit payment if you get benefits from one of these:

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• Social Security

• Railroad Retirement Board

• Office of Personnel Management

 

If you don’t get these benefit payments, you’ll get a bill. 

Most people will pay the standard premium amount. If your modified adjusted gross income is above a certain amount, you may pay an Income Related Monthly Adjustment Amount (IRMAA). Medicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago.

This is the most recent tax return information provided to Social Security by the IRS. The standard Part B premium amount in 2020 is $144.60. Most people pay the standard Part B premium amount. 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 premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium.