Medicare Part A (Hospital Insurance) Costs
Part A Monthly Premium

Most people don’t pay a Part A premium because they paid Medicare taxes while working.

If you don’t get premium-free Part A, you pay up to $422 each month.


Hospital Stay
In 2018, you pay

  • $1,340 deductible per benefit period
  • $0 for the first 60 days of each benefit period
  • $335 per day for days 61-90 of each benefit period
  • $670 per “lifetime reserve day” after day 90 of each benefit period (up to a maximum of 60 days over your lifetime)


Skilled Nursing Facility Stay
In 2018, you pay

  • $0 for the first 20 days of each benefit period
  • $167.50 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
The standard Part B premium amount in 2018 is $134 or higher depending on your income. However,

most people who get Social Security benefits pay less than this amount ($130 on average). Social

Security will tell you the exact amount you’ll pay for Part B in 2018.
You pay the standard premium amount (or higher) if:

  • You enroll in Part B for the first time in 2018.
  • You don’t get Social Security benefits.
  • You’re directly billed for your Part B premiums.
  • You have Medicare and Medicaid, and Medicaid pays your premiums. (Your state will pay the standard premium amount of $134 in 2018.)
  • Your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount.


 If you’re in 1 of these 5 groups, here’s what you’ll pay:

If your yearly income in 2016 was

  You pay (in 2018)

Filed individual

tax return

File Joint 

tax return

File married & separate tax Return 


$85,000 or less

​$170,000 or less

$85,000 or 
$134
above $85,000 up to $107,000
above $170,000 up to $214,000
N/A
$187.50
above $107,000 up to $160,000
above $214,000 up to $320,000
N/A
$267.90
above $160,000 up to $214,000
above $320,000 up to $428,000
above $85,000 up to $129,000
$348.30
above $214,000
above $428,000
above $129,000
$428.60


 













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.

Part B Deductible – $183 per year

Medicare Advantage Plans (Part C) and Medicare

Prescription Drug Plans (Part D) Premiums

Visit Medicare.gov/find-a-plan to get plan premiums. You can also call 1-800-MEDICARE (1-800-633-4227).

TTY users can call 1-877-486-2048. You can also call the plan or your State Health Insurance Assistance

Program (SHIP). To get the most up-to-date SHIP phone numbers, visit shiptacenter.org or call 1-800-MEDICARE.

Part D Monthly Premium
The chart below shows your estimated prescription drug plan monthly premium based on your income.

If your income is above a certain limit, you will pay an income-related monthly adjustment amount in

addition to your plan premium.


If your yearly income in 2016 was
You pay (in 2018)
File individual tax return
File joint tax return
File married & separate tax return

$85,000 or less
$170,000 or less
$85,000 or less
Your plan premium
above $85,000 up to $107,000
above $170,000 up to $214,000
not applicable
$13.00 + your plan premium
above $107,000 up to $133,500
above $214,000 up to $267,000
not applicable
$33.60 + your plan premium
above $133,500 up to $160,000
above $267,000 up to $320,000
not applicable
$54.20 + your plan premium
above $160,000
above $320,000
above $85,000
$74.80 + your plan premium



 











2018 Part D National Base Beneficiary Premium – $35.02

This figure is used to estimate the Part D late enrollment penalty and the income-related monthly adjustment

amounts listed in the table above. The national base beneficiary premium amount can change each year.

See your Medicare & You handbook or visit Medicare.gov for more information.

2018 Medicare Costs

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