Medicare premiums are standard monthly fees you pay to maintain your healthcare coverage.
Medicare Part A and Part B premiums are calculated based on your income. These premiums are the same nationwide.
Medicare Advantage (Part C) and Medicare Part D premiums are set by plan providers. Premiums vary by plan.
Medicare premiums increase each year. In 2022, the standard Part B premium increased by $21.60 to $170.10 per month.
Are you planning your yearly budget? If you’re a Medicare beneficiary, healthcare costs can vary from month to month depending on the services you access. You’ll need to factor in copays, coinsurance, and your yearly deductible. But there’s one amount you can expect to pay each month — your Medicare premium.
A Medicare premium is a monthly fee you pay for your Medicare plan. Original Medicare’s Part A and Part B have federally mandated premiums, while Medicare Advantage (Part C), Medicare Supplement Insurance (Medigap) and Medicare Part D premiums are set by private plan providers.
Find a local Medicare plan that fits your needs
Medicare evaluates premiums each year, and announces new Medicare Part A and Part B premiums near the end of the year. Medicare Advantage plans also announce new premiums each year. You’ll have lots of time to think about your current coverage and compare plans. You may decide to stay in the same Medicare plan or switch to a new plan with different premiums.
Medicare premiums 2022 vary depending on your Medicare plan and your income. Here’s how much you’ll pay for Medicare premiums in 2022.
Medicare Part A premium
Medicare Part A is part of Original Medicare. It provides inpatient hospital coverage, as well as skilled nursing care. Most Medicare beneficiaries have premium-free Part A. If you or your spouse paid Medicare taxes for 40 quarters, you will not have to pay a Part A premium. In most cases, if you worked for 10 years you’ll qualify for premium-free Part A.
If you don’t qualify for premium-free Part A, monthly premiums for 2022 can range from $274 to $499 depending on how many years you or your spouse paid Medicare taxes.
Here’s how it works:
- If you paid Medicare taxes for fewer than 30 quarters, your Part A premium is $499.
- If you paid Medicare taxes for 30 to 39 quarters, your Part A premium is $274.
- If you paid Medicare taxes for at least 40 quarters, you’ll qualify for premium-free Part A.
Medicare Part B premium
Medicare Part B helps cover medical benefits such as outpatient services and doctor’s visits. The Medicare Part B premium (2022) starts at $170.10. Most Medicare beneficiaries pay the standard Part B premium. Depending on your income, however, you may pay an Income Related Monthly Adjustment Amount (IRMAA). Your premium could rise to as high as $578.30 per month.
Medicare Part C premium
Medicare Advantage or Medicare Part C plans offer comprehensive healthcare coverage. These plans include the same coverage as Original Medicare Parts A and B, along with additional benefits such as dental and vision coverage. Each plan provider offering Medicare Advantage plans can set their own costs and premiums — which you may have to pay in addition to your Part A and B premiums. The good news? Many Medicare Advantage plans have much lower premiums than Original Medicare, and some even start as low as $0. Some plans will even help pay up to 100% of your Part B premium.
Medicare Part D premium
Medicare Part D provides prescription drug coverage. Just like Medicare Advantage plans, Part D plan providers set their own monthly premiums. Medicare Part D monthly premiums typically range from $30 to $100.
Did the Medicare premiums increase in 2022?
Medicare premiums often increase from year to year.
Medicare Part A premiums increased in 2022. In 2021, Medicare Part A premiums were $259 for those who paid Medicare taxes for 20 to 30 quarters. This year it increased to $274. In 2021, the Medicare Part A premium for anyone who paid Medicare taxes for fewer than 30 quarters was $471. In 2022, it increased to $499.
Medicare Part B premiums also increased this year, rising from $148.50 to $170.10, an increase of $21.60 per month.
Are you eligible for cost-saving Medicare subsidies?
Medicare premiums 2023 are expected to increase from their 2022 rates. Almost every year, Medicare Part A and Part B premiums increase by a small percentage. Medicare Part C premiums may also increase slightly, and Part D premiums may average around $33 per month in 2022.
Medicare Part B premiums are calculated based on your income. If you have a higher income, Medicare Part B may cost more. For 2022, the standard Medicare Part B premium is $170.10 per month. Depending on your income, you may also have to pay an Income Related Monthly Adjustment Amount (IRMAA) in addition to the standard Part B premium.
Here’s how your income affects Medicare premiums in 2022:
- If your yearly income is $91,000 or less, you’ll pay $170.10 per month.
- If your income is more than $91,000 and up to $114,000, you’ll pay $238.10.
- If your income is more than $114,000 and up to $142,000, you’ll pay $340.20.
- If your income is more than $142,000 and up to $170,000, you’ll pay $442.30.
- If your income is more than $170,000 and up to $500,000, you’ll pay $544.30.
- If your income is $500,000 and up, you’ll pay $578.30.
Most Americans are eligible for Medicare when they turn 65. But not everyone chooses to enroll in Medicare right away. However, if you don’t enroll in Medicare at 65 and don’t have any other healthcare coverage, you’ll be stuck paying late enrollment penalties. And these aren’t one-time penalties; late enrollment penalties are added to your monthly Medicare premium and can last as long as you have your plan.
The Medicare Part A late enrollment penalty only applies to beneficiaries who have to pay a Part A premium. For each year you are eligible for Medicare Part A but you were not enrolled, you’ll pay a 10% penalty for two years. So, waiting three years to enroll means you’ll pay an additional 10% for six years.
The Medicare Part B late enrollment penalty adds 10% for each year you didn’t enroll in Medicare Part B — and lasts forever. If you enroll 3 years after you’re eligible for Medicare, you’ll pay a 30% higher Part B premium as long as you’re enrolled in Medicare Part B.
The Medicare Part D late enrollment penalty equates to an additional 1% of the Part D premium for every month you don’t have prescription drug coverage. So, if you don’t enroll in Part D for 1 year, you’ll have a 12% late enrollment penalty. This is a lifetime penalty that you’ll pay as long as you’re enrolled in a Medicare Part D plan.