What Do I Pay for Medicare?
What Is a Monthly Premium?
Your monthly premium is the set amount you pay each month to have your plan. You pay it even if you don’t receive any medical care that month. Like other bills, this premium can rise when it’s time to renew your plan for the next year.
What Are Out-of-Pocket Costs?
Out-of-pocket costs are what you must pay when you get care. These costs depend on how much care you actually get and your yearly out-of-pocket maximum. Once you hit this limit, your insurance pays for all of your care. There are 3 types of out-of-pocket costs:
Deductible: The set amount you pay for care before we start helping with the cost. Premiums and copays don't count towards this amount.
Copay: The set fee you pay each time you use a certain medical service covered by your plan. You either pay this or coinsurance.
Coinsurance: The percentage of the cost you pay each time you use a certain medical service covered by your plan. You either pay this or a copay.
What Do I Pay for Medicare Part A?
You usually don't pay a monthly premium for Part A if you or your spouse paid Medicare taxes while you were working.
You can get Part A without a premium if:
- You already get a Social Security or Railroad check for retirement
- 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
Usually, if you choose to buy Part A, you must also have Part B. If you buy Part A, you'll pay up to $413 each month, plus Part B costs. Then, you must also pay coinsurance or copayments for most care.
What Do I Pay for Medicare Part B?
Some people get Part B automatically when they turn 65, and some must sign up for it. Learn how and when you can sign up for Part B.
For Part B, you pay:
- A premium each month.
- If you get Social Security or a Railroad check, this premium will be taken out of this automatically. If you don’t get these, you’ll get a bill.
- A Part B deductible.
- After you meet your deductible, 20% coinsurance for most care.
See more details of what you pay for Part B.
Calculate your Original Medicare Premiums on Medicare.gov.
What Do I Pay for Medicare Advantage?
For Medicare Advantage plans, you pay:
- A set monthly premium.
- Your monthly Part B premium.
- Copayments or coinsurance each time you use medical services, like when you visit the doctor. With some plans though, you’ll pay nothing for certain services.
- Once you hit your yearly spending limit, or out-of-pocket maximum, we pay for everything else for the rest of the year.
What Do I Pay for Medicare Part D?
For a Medicare Part D plan, you'll pay:
- A set monthly premium
- A Part D deductible
- Copayments or coinsurance for your drug costs
- Costs in the Coverage Gap
- All your other Medicare or Medicare Supplement costs
Your actual drug costs can also change based on:
- The drugs you use and if they're covered
- The plan you choose
- Using an in-network pharmacy
- If you get extra help paying for Part D
- If you have to pay a late enrollment penalty
What Do I Pay for Medicare Supplement?
For Medicare Supplement plans, you pay:
- A set monthly premium. This rate goes up as you get older.
- Your monthly Part B premium.
- Depending on your plan, copayments or coinsurance each time you use medical services.
- If you want pharmacy coverage, you’ll also have to buy a Part D plan separately.
See our Medicare Supplement plans for more information.