Cost Associated with Medicare

The charts below is a comprehensive list of Medicare Part A and B costs, including premiums, deductibles, and coinsurance. Medicare supplemental insurance, known as Medigap, can help cover some of the gaps in coverage and pay for part or all of Medicare’s coinsurance and deductibles, depending on the policy. Some Medicare Advantage (MA) plans may also help cover these costs.

Part A (Hospital Insurance) Costs

Part A – Hospital Insurance Premiums, Deductibles & Coinsurance

Social Security Credits Your 2024 Cost
0-29 quarters of Social Security Credits $565 per month
30-39 quarters of Social Security Credits $311 per month
40 or more quarters $0 per month (Most don’t pay)
Inpatient Hospital Deductible $1,736
Inpatient Hospital Coinsurance $434 per day for days 61-90
$868 per day for days 91-150
Skilled Nursing Facility Insurance $204 per day for days 21-100

Hospital Inpatient Costs

Service Provided Medicare Pays You Pay
Days 1-60 100% after deductible $1,632 deductible
Days 61-90 100% after copay $408 per day copay
60 reserve days 100% after copay $816 per day copay
After 150 days 0% 100%
Psychiatric hospital Same as hospital above with 190-day lifetime limit 100% after 190 days

Each of the 60 reserve days may be used only once during an individual’s lifetime.

Skilled Nursing Facility (SNF)

(If daily skilled care is needed after a 3-day hospital stay)

Service Provided Medicare Pays You Pay
Days 1-20 100% 0%
Days 21-100 100% after copay $217 per day copay
After 100 days 0% 100%
Home health care 100% minus 20% of covered DME 0% for skilled visits; 20% for Medicare-approved DME
Hospice care 100% minus $5 per prescription
95% of approved payment for respite care
5% of approved amount for inpatient respite care
5% of approved payment for respite care per day, up to $1,632
Blood 100% after 3 pints First three pints each year

Income-Related Monthly Adjustment Amount (IRMAA)

Your Annual Income Your Monthly Premium for 2026
Single: Up to $103,000
Couple: Up to $206,000
$174.70
Single: $103,001 to $129,000
Couple: $206,001 to $258,000
$244.60
Single: $129,001 to $161,000
Couple: $258,001 to $322,000
$349.40
Single: $161,001 to $193,000
Couple: $322,001 to $386,000
$454.20
Single: $193,001 and over
Couple: $386,001 and over
$559.00

Certain Medicare enrollees who are 36 months post–kidney transplant, and therefore no longer eligible for full Medicare coverage, may elect to continue Medicare Part B coverage of immunosuppressive drugs only (Part B-ID). This coverage may be continued indefinitely as long as eligibility requirements are met and requires a monthly premium ($121.60 in 2026). Beneficiaries with higher incomes may pay higher premiums due to IRMAA.

Service Medicare Pays You Pay
Annual Deductible $283
Physician Costs 80% of approved amount 20% of approved amount, plus up to 15% extra if the provider does not accept assignment
Clinical Lab Services Approved amount $0
Medical Equipment and Supplies 80% of approved amount All remaining costs
Certain Preventive Services 80% or 100% 20% or $0, depending on service
Mental Health Services
(Partial Hospitalization)
Days 1-60: 100% after deductible
Days 61-90: 100% after copay
60 Reserve Days: 100% after copay
After 150 days: $0
Days 1-60: $1736 deductible
Days 61-90: $434 per day
1736 60 Reserve Days: $868 per day
After 150 days: 100% per day
Outpatient

(Beneficiaries in Medicare Advantage plans do not pay the Part B annual deductible. Medigap Plans C and F include the Part B annual deductible as a benefit.