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block-page-title-block"> </div> <div id="block-medicare-evo-content" data-block-plugin-id="system_main_block" class="block block-system block-system-main-block"> <article class="node node--type-layout-page node--view-mode-full"> <div class="node__content"> <div class="layout--constrained layout__section-title--2xl layout layout--onecol-section ds-u-padding-x--2 ds-u-lg-padding-x--4"> <div class="layout__container"> <div class="ds-l-row"> <div class="layout__column ds-l-col--12"> <article class="m-evo-intro block block-layout-builder block-inline-blockintro" data-block-plugin-id="inline_block:intro"> <div class="m-evo-intro__content-wrapper"> <div class="m-evo-intro__content"> <h1 class="m-evo-intro__title ds-text-heading--5xl" > <span>Costs</span> </h1> <div class="m-evo-intro__body"> <div class="ds-content ds-content--m-evo clearfix"><p>What you pay for Medicare will vary based on what coverage and services you get, and what providers you visit. <a href="https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options">What are my coverage options?</a></p> <p>There's no yearly limit on what you pay out-of-pocket, unless you have supplemental coverage, like a <span data-tooltip-id="55966" class="m-evo-tooltip" data-content="<p><strong>Medicare Supplement Insurance (Medigap)</strong><br /> An insurance policy you can buy to help lower your share of certain costs for Part A and Part B services (Original Medicare).</p>"> Medicare Supplement Insurance (Medigap) </span> policy, or you join a <span data-tooltip-id="56081" class="m-evo-tooltip" data-content="<p><strong>Medicare Advantage Plan (Part C)</strong><br /> A type of Medicare-approved health plan from a private company that you can choose to cover most of your Part A and Part B benefits instead of Original Medicare.&nbsp;It usually also includes drug coverage (Part D).&nbsp;</p>"> Medicare Advantage Plan </span>.</p> <p> <span class="m-evo-help-drawer" data-drawer-id="55901" data-size="std" data-title="What’s a premium, deductible, coinsurance, or copayment? " data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;&lt;strong&gt;Premium:&lt;/strong&gt; A monthly amount you pay for coverage, whether you get services or not.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Deductible:&lt;/strong&gt; An amount you have to pay for covered services and items each year before Medicare or your plan starts to pay.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Coinsurance:&lt;/strong&gt; A percentage of the cost that you pay. In Part B, you generally pay 20% of the cost for each Medicare-covered service.&lt;/p&gt;&lt;div class="ds-c-alert ds-c-alert--hide-icon m-evo-note--example"&gt;&lt;div class="ds-c-alert__body ds-u-measure--wide m-evo-note--body"&gt;&lt;div class="ds-c-alert__text"&gt;&lt;p&gt;&lt;strong&gt;Example&lt;/strong&gt;&amp;nbsp;&lt;br&gt;A Medicare-covered&amp;nbsp;service costs &dollar;100. Medicare pays &dollar;80 and you pay &dollar;20. (&dollar;100 x 20% = &dollar;20.)&lt;/p&gt;&lt;/div&gt;&lt;/div&gt;&lt;/div&gt;&lt;p&gt;&lt;strong&gt;Copayment:&lt;/strong&gt; A fixed amount you pay for a Medicare-covered&amp;nbsp;service, like &dollar;30.&lt;/p&gt;&lt;/div&gt; &lt;/div&gt;"> What’s a premium, deductible, coinsurance, or copayment? </span></p></div> </div> </div> </div> </article> </div> </div> </div> </div> <div class="layout--constrained layout__section-title--2xl layout layout--onecol-section ds-u-padding-x--2 ds-u-lg-padding-x--4"> <div class="layout__container"> <div class="ds-l-row"> <div class="layout__column ds-l-col--12"> <div data-block-plugin-id="inline_block:basic" class="block block-layout-builder block-inline-blockbasic"> <div class="ds-content ds-content--m-evo clearfix"><div class="m-evo-h-with-image"><div><div class="m-evo-h-with-icon"><div><i class="fa-kit fa-hospital fa-2x"> </i></div><h2 class="ds-u-measure--wide">Part A (Hospital Insurance) costs</h2></div></div></div><div class="m-evo--table-wrapper"><table class="cke5-sticky-enabled"><thead><tr><th>Part A costs:</th><th>What you pay in 2024:</th></tr></thead><tbody><tr><td><strong>Premium</strong></td><td><p><strong>$0 for most people</strong> (because they or a spouse paid Medicare taxes long enough while working - generally at least 10 years). If you get Medicare earlier than age 65, you won’t pay a Part A premium. This is sometimes called “premium-free Part A.”</p><p> <span class="m-evo-help-drawer" data-drawer-id="55906" data-size="std" data-title="Who qualifies for Part A without paying a monthly premium?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;You usually don't pay a monthly premium for Part A if you (or another qualifying person, like your current or former spouse) paid Medicare taxes while working for a certain amount of time. (If you're 65 or older, usually this is 10 years of work. If you get Medicare earlier than age 65, you won't pay a Part A premium.)&lt;/p&gt;&lt;p&gt;If you qualify, you can sign up for Part A coverage starting 3 months before you turn 65 and any time after you turn 65.&amp;nbsp;&lt;br&gt;Part A coverage starts up to 6 months back from when you sign up or apply to get benefits from Social Security (or the Railroad Retirement Board).&lt;/p&gt;&lt;p&gt;If you’re not sure if you qualify, you can:&lt;br&gt;⦁&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;a href="https://secure.ssa.gov/RIL/SiView.action"&gt;Log into (or create) your secure&amp;nbsp;my&amp;nbsp;Social Security account&lt;/a&gt;&amp;nbsp;to find out&amp;nbsp;if you paid Medicare taxes long enough.&amp;nbsp;&lt;br&gt;⦁&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;Ask your employer.&lt;/p&gt;&lt;p&gt;If you or your spouse worked for a railroad, you can call the Railroad Retirement Board at 1-877-772-5772.&lt;/p&gt;&lt;/div&gt; &lt;/div&gt;"> Do I qualify for premium-free Part A? </span></p><p><strong>If you don’t qualify for premium-free Part A:</strong> You might be able to buy it. You’ll pay either $278 or $505 each month for Part A ($285 or $518 in 2025), depending on how long you or your spouse worked and paid Medicare taxes.</p><p>Remember:</p><ul><li>You also have to sign up for Part B to buy Part A. <a href="/basics/get-started-with-medicare/medicare-basics/how-does-medicare-work" data-entity-type="node" data-entity-uuid="e52db2fa-494d-4189-b89a-b7f1959975fe" data-entity-substitution="canonical">Learn more about how Medicare works.</a></li><li>If you don’t buy Part A when you’re first eligible for Medicare (usually when you turn 65), you might pay a penalty. <a href="/basics/costs/medicare-costs/avoid-penalties" data-entity-type="node" data-entity-uuid="4af31631-d671-4765-941c-f211b71116b6" data-entity-substitution="canonical">Find out more about how to avoid the Part A penalty.</a></li></ul></td></tr><tr><td><strong>Deductible</strong></td><td><p><strong>$1,632 </strong>($1,676 in 2025) for each inpatient hospital <span data-tooltip-id="56056" class="m-evo-tooltip" data-content="<p><strong>Benefit period</strong><br /> The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services. A benefit period begins the day you're admitted as an inpatient in a hospital or SNF.&nbsp;The benefit period ends when you haven't gotten any inpatient hospital care (or&nbsp;up to 100 days of&nbsp;skilled care in a SNF) for 60 days in a row. If you go into a hospital or a SNF after one benefit period has ended, a new benefit period begins. You must pay the inpatient hospital deductible for each benefit period. There's no limit to the number of benefit periods.&nbsp;</p>"> benefit period </span>, before <span data-tooltip-id="56076" class="m-evo-tooltip" data-content="<p><strong>Original Medicare</strong><br /> A fee-for-service health insurance program that has 2 parts: Part A and Part B.&nbsp;You typically pay a portion of the costs for covered services as you get them. Under Original Medicare, you don’t have coverage through a Medicare Advantage Plan or another type of Medicare health plan.&nbsp;</p>"> Original Medicare </span> starts to pay.</p><p>There’s no limit to the number of benefit periods you can have in a year. This means you may pay the deductible more than once in a year. <span class="m-evo-help-drawer" data-drawer-id="109271" data-size="std" data-title="How do benefit periods work?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;&lt;strong&gt;In a hospital:&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;Start: The day you're admitted as an inpatient&lt;br&gt; End: When you haven't gotten any inpatient hospital care for 60 days in a row&lt;/p&gt; &lt;p&gt;&lt;strong&gt;In a Skilled Nursing Facility (SNF):&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;Start: The day you're admitted as an inpatient&lt;br&gt; End: When you haven’t gotten any skilled care in a SNF for 60 days in a row&lt;/p&gt; &lt;p&gt;If you go into a hospital or a SNF after one benefit period has ended, a new benefit period begins. There’s no limit to the number of benefit periods you can have in a year.&lt;/p&gt;&lt;/div&gt; &lt;/div&gt;"> How do benefit periods work? </span></p></td></tr><tr><td><strong>Inpatient stay</strong></td><td><ul><li>Days 1-60: $0 after you pay your Part A deductible.</li><li>Days 61-90: $408 each day ($419 in 2025).</li><li>Days 91-150: $816 each day ($838 in 2025) while using your 60 <span data-tooltip-id="32276" class="m-evo-tooltip" data-content="<p><strong>Lifetime reserve days</strong><br /> In Original Medicare, these are additional days that Medicare will pay for when you're in a hospital for more than 90 days. You have a total of 60 reserve days that can be used during your lifetime. For each lifetime reserve day, Medicare pays all covered costs except for a daily coinsurance.</p>"> lifetime reserve days </span>.</li><li>After day 150: You pay all costs.</li></ul><p> <span class="m-evo-help-drawer" data-drawer-id="109231" data-size="std" data-title="What's not covered?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;div class="m-evo--main-content"&gt; &lt;p&gt;Medicare doesn’t pay for:&lt;/p&gt; &lt;ul&gt; &lt;li&gt;Private-duty nursing&lt;/li&gt; &lt;li&gt;Television in your room&lt;/li&gt; &lt;li&gt;Phone in your room&lt;/li&gt; &lt;/ul&gt; &lt;p&gt;You’ll also pay for a private room, unless it's medically necessary.&lt;/p&gt; &lt;/div&gt;&lt;/div&gt; &lt;/div&gt;"> What's not covered? </span></p><p> <span class="m-evo-help-drawer" data-drawer-id="109236" data-size="std" data-title="What will I pay if I get mental health services as an inpatient?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;If you’re an inpatient at a general or psychiatric hospital, you also pay 20% of the &lt;span data-tooltip-id="32396" class="m-evo-tooltip" data-content="&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Medicare-approved amount&amp;lt;/strong&amp;gt;&amp;amp;nbsp;&amp;lt;br&amp;gt;The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.&amp;lt;/p&amp;gt;"&gt; Medicare-approved amount &lt;/span&gt; for mental health services you get from providers during your stay.&lt;/p&gt; &lt;p&gt;If you’re getting services at a psychiatric hospital, remember that Part A only pays for up to 190 days of inpatient psychiatric care during your lifetime.&lt;/p&gt;&lt;/div&gt; &lt;/div&gt;"> What will I pay if I get mental health services as an inpatient? </span></p></td></tr><tr><td><strong>Skilled nursing facility stay </strong></td><td><ul><li>Days 1-20: $0. </li><li>Days 21-100: $204 each day ($209.50 in 2025).</li><li>Days 101 and beyond: You pay all costs.</li></ul></td></tr><tr><td><strong>Home health care </strong></td><td><p>$0 for covered home health care services.</p><p>20% of the <span data-tooltip-id="32396" class="m-evo-tooltip" data-content="<p><strong>Medicare-approved amount</strong>&nbsp;<br>The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.</p>"> Medicare-approved amount </span> for durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment)</p></td></tr><tr><td><strong>Hospice care </strong></td><td><p>$0 for covered hospice care services.</p><p>You may also pay:</p><ul><li>A copayment of up to $5 for each prescription drug and other similar products for pain relief and symptom control while you're at home.<br> <span class="m-evo-help-drawer" data-drawer-id="109241" data-size="std" data-title="What if my hospice care doesn't pay for my drug?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;Ask your provider to contact your &lt;span data-tooltip-id="55961" class="m-evo-tooltip" data-content="&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Medicare drug plan (Part D)&amp;lt;/strong&amp;gt;&amp;lt;br /&amp;gt; Separate prescription drug coverage from Medicare-approved private plans.&amp;lt;/p&amp;gt;"&gt; Medicare drug plan &lt;/span&gt; (if you have one) to find out if they’ll cover it.&lt;/p&gt;&lt;/div&gt; &lt;/div&gt;"> What if my hospice care doesn't pay for my drug? </span></li><li>5% of the <span data-tooltip-id="32396" class="m-evo-tooltip" data-content="<p><strong>Medicare-approved amount</strong>&nbsp;<br>The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.</p>"> Medicare-approved amount </span> for inpatient <span data-tooltip-id="32506" class="m-evo-tooltip" data-content="<p><strong>Respite care</strong><br>Temporary care provided in a Medicare-approved nursing home, hospice inpatient facility, or hospital so that a family member or friend who is the patient's caregiver can rest or take some time off. The patient can stay for up to 5 days each time the caregiver gets respite care.</p>"> respite care </span>.<br> <span class="m-evo-help-drawer" data-drawer-id="109246" data-size="std" data-title="What's not covered (hospice)?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;Medicare doesn't cover room and board when you get hospice care in your home or another facility where you live (like a nursing home).&lt;/p&gt;&lt;/div&gt; &lt;/div&gt;"> What's not covered? </span></li></ul></td></tr></tbody></table></div><div class="m-evo-h-with-image"><div><div class="m-evo-h-with-icon"><div><i class="fa-kit fa-stethoscope fa-3x"> </i></div><h2 class="ds-u-measure--wide">Part B (Medical Insurance) costs</h2></div></div></div><div class="m-evo--table-wrapper"><table class="cke5-sticky-enabled"><thead><tr><th><strong>Part B costs:</strong></th><th><strong>What you pay in 2024:</strong></th></tr></thead><tbody><tr><td><strong>Premium</strong></td><td><p><strong>$174.70 each month</strong> ($185 in 2025) (or higher depending on your income). The amount can change each year. You’ll pay the premium each month, even if you don’t get any Part B-covered services.</p><p> <span class="m-evo-help-drawer" data-drawer-id="55916" data-size="wide" data-title="Who pays a higher Part B premium because of income?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;You’ll pay the higher premium if your modified adjusted gross income, as reported on your IRS tax return from 2 years ago, is more than:&lt;/p&gt;&lt;ul&gt;&lt;li&gt;&dollar;103,000 in 2024 (&dollar;106,000 in 2025),&amp;nbsp;if you file an individual tax return or are married and file separately&lt;/li&gt;&lt;li&gt;&lt;span&gt;&dollar;206,000 in 2024 (&lt;/span&gt;&dollar;212,000 in 2025),&amp;nbsp;if you are married and file a joint tax return&lt;/li&gt;&lt;/ul&gt;&lt;p&gt;Social Security will tell you if you have to pay a higher premium because of your income.&amp;nbsp;If you've had a life-changing event that reduced your household income, you can &lt;a href="https://www.ssa.gov/medicare/lower-irmaa" data-entity-type="node" data-entity-uuid="7930b62a-39fc-4482-a129-a9afc4d352e9" data-entity-substitution="canonical"&gt;ask Social Security to lower the additional amount you'll pay&lt;/a&gt;.&amp;nbsp;&lt;/p&gt;&lt;h2&gt;Find out if you'll pay a higher Part B premium in 2024:&lt;/h2&gt;&lt;table&gt;&lt;thead&gt;&lt;tr&gt;&lt;th colspan="3" rowspan="1"&gt;If your yearly income in 2022 (for what you pay in 2024) was&lt;/th&gt;&lt;th colspan="1" rowspan="2"&gt;You pay each month (in 2024)&lt;/th&gt;&lt;/tr&gt;&lt;tr&gt;&lt;th&gt;File individual tax return&lt;/th&gt;&lt;th&gt;File joint tax return&lt;/th&gt;&lt;th&gt;File married &amp;amp; separate tax return&lt;/th&gt;&lt;/tr&gt;&lt;/thead&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td&gt;&dollar;103,000 or less&lt;/td&gt;&lt;td&gt;&dollar;206,000 or less&lt;/td&gt;&lt;td&gt;&dollar;103,000 or less&lt;/td&gt;&lt;td&gt;&dollar;174.70&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;103,000 up to &dollar;129,000&lt;/td&gt;&lt;td&gt;above &dollar;206,000 up to &dollar;258,000&lt;/td&gt;&lt;td&gt;Not applicable&lt;/td&gt;&lt;td&gt;&dollar;244.60&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;129,000 up to &dollar;161,000&lt;/td&gt;&lt;td&gt;above &dollar;258,000 up to &dollar;322,000&lt;/td&gt;&lt;td&gt;Not applicable&lt;/td&gt;&lt;td&gt;&dollar;349.40&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;161,000 up to &dollar;193,000&lt;/td&gt;&lt;td&gt;above &dollar;322,000 up to &dollar;386,000&lt;/td&gt;&lt;td&gt;Not applicable&lt;/td&gt;&lt;td&gt;&dollar;454.20&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;193,000&amp;nbsp;and less than&amp;nbsp;&dollar;500,000&lt;/td&gt;&lt;td&gt;above &dollar;386,000&amp;nbsp;and less than &dollar;750,000&lt;/td&gt;&lt;td&gt;above &dollar;103,000&amp;nbsp;and less than&amp;nbsp;&dollar;397,000&lt;/td&gt;&lt;td&gt;&dollar;559.00&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&dollar;500,000 or above&lt;/td&gt;&lt;td&gt;&dollar;750,000 or above&lt;/td&gt;&lt;td&gt;&dollar;397,000 or above&lt;/td&gt;&lt;td&gt;&dollar;594.00&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;h2&gt;Find out if you'll pay a higher Part B premium in 2025:&lt;/h2&gt;&lt;table&gt;&lt;thead&gt;&lt;tr&gt;&lt;th colspan="3" rowspan="1"&gt;If your yearly income in 2023 (for what you pay in 2025) was&lt;/th&gt;&lt;th colspan="1" rowspan="2"&gt;You pay each month (in 2025)&lt;/th&gt;&lt;/tr&gt;&lt;tr&gt;&lt;th&gt;File individual tax return&lt;/th&gt;&lt;th&gt;File joint tax return&lt;/th&gt;&lt;th&gt;File married &amp;amp; separate tax return&lt;/th&gt;&lt;/tr&gt;&lt;/thead&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td&gt;&dollar;106,000 or less&lt;/td&gt;&lt;td&gt;&dollar;212,000 or less&lt;/td&gt;&lt;td&gt;&dollar;106,000 or less&lt;/td&gt;&lt;td&gt;&dollar;185.00&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;106,000 up to &dollar;133,000&lt;/td&gt;&lt;td&gt;above &dollar;212,000 up to &dollar;266,000&lt;/td&gt;&lt;td&gt;Not applicable&lt;/td&gt;&lt;td&gt;&dollar;259.00&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;133,000 up to &dollar;167,000&lt;/td&gt;&lt;td&gt;above &dollar;266,000 up to &dollar;334,000&lt;/td&gt;&lt;td&gt;Not applicable&lt;/td&gt;&lt;td&gt;&dollar;370.00&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;167,000 up to &dollar;200,000&lt;/td&gt;&lt;td&gt;above &dollar;334,000 up to &dollar;400,000&lt;/td&gt;&lt;td&gt;Not applicable&lt;/td&gt;&lt;td&gt;&dollar;480.90&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;200,000&amp;nbsp;and less than&amp;nbsp;&dollar;500,000&lt;/td&gt;&lt;td&gt;above &dollar;400,000&amp;nbsp;and less than &dollar;750,000&lt;/td&gt;&lt;td&gt;above &dollar;106,000&amp;nbsp;and less than&amp;nbsp;&dollar;394,000&lt;/td&gt;&lt;td&gt;&dollar;591.90&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&dollar;500,000 or above&lt;/td&gt;&lt;td&gt;&dollar;750,000 or above&lt;/td&gt;&lt;td&gt;&dollar;394,000 or above&lt;/td&gt;&lt;td&gt;&dollar;628.90&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt; &lt;/div&gt;"> Who pays a higher Part B premium because of income? </span></p><p>You might pay a monthly penalty if you don’t sign up for Part B when you’re first eligible for Medicare (usually when you turn 65). You’ll pay the penalty for as long as you have Part B. The penalty goes up the longer you wait to sign up. <a href="/basics/costs/medicare-costs/avoid-penalties" data-entity-type="node" data-entity-uuid="4af31631-d671-4765-941c-f211b71116b6" data-entity-substitution="canonical">Find out how the Part B penalty works and how to avoid it.</a></p></td></tr><tr><td><strong>Deductible</strong></td><td><strong>$240 ($257 in 2025) before Original Medicare starts to pay.</strong> You pay this deductible once each year.</td></tr><tr><td><strong>General costs for services (coinsurance)</strong></td><td>Usually 20% of the cost for each Medicare-covered service or item after you’ve paid your deductible (and as long as your doctor or health care provider accepts the <span data-tooltip-id="32396" class="m-evo-tooltip" data-content="<p><strong>Medicare-approved amount</strong>&nbsp;<br>The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.</p>"> Medicare-approved amount </span> as full payment – called “accepting assignment”). <a href="/basics/costs/medicare-costs/provider-accept-Medicare" data-entity-type="node" data-entity-uuid="de7d0317-57d3-42f0-bf6f-84d9414234ff" data-entity-substitution="canonical">Find out how assignment affects what you pay.</a></td></tr><tr><td><strong>Clinical laboratory services</strong></td><td>$0 for covered clinical laboratory services.</td></tr><tr><td><strong>Home health care</strong></td><td><ul><li>$0 for covered home health care services.</li><li>20% of the <span data-tooltip-id="32396" class="m-evo-tooltip" data-content="<p><strong>Medicare-approved amount</strong>&nbsp;<br>The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.</p>"> Medicare-approved amount </span> for durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment).</li></ul></td></tr><tr><td><strong>Inpatient hospital care</strong></td><td>20% of the <span data-tooltip-id="32396" class="m-evo-tooltip" data-content="<p><strong>Medicare-approved amount</strong>&nbsp;<br>The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.</p>"> Medicare-approved amount </span> for most doctor services while you’re a hospital inpatient.</td></tr><tr><td><strong>Outpatient mental health care</strong></td><td><ul><li>$0 for your yearly depression screening.</li><li>20% of the <span data-tooltip-id="32396" class="m-evo-tooltip" data-content="<p><strong>Medicare-approved amount</strong>&nbsp;<br>The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.</p>"> Medicare-approved amount </span> for visits to your doctor or other health care provider to diagnose or treat your condition.</li><li>If you get your services in a hospital outpatient clinic or hospital outpatient department, you may have to pay an additional amount to the hospital.</li></ul></td></tr><tr><td><strong>Partial hospitalization mental health care</strong></td><td><p>After you meet the Part B deductible:</p><ul><li>20% of the <span data-tooltip-id="32396" class="m-evo-tooltip" data-content="<p><strong>Medicare-approved amount</strong>&nbsp;<br>The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.</p>"> Medicare-approved amount </span> for each service you get from a doctor or certain other qualified mental health professional</li><li>Coinsurance for each day of partial hospitalization services you get in a hospital outpatient setting or community mental health center</li></ul></td></tr><tr><td><strong>Outpatient hospital care</strong></td><td><ul><li>Usually 20% of the <span data-tooltip-id="32396" class="m-evo-tooltip" data-content="<p><strong>Medicare-approved amount</strong>&nbsp;<br>The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.</p>"> Medicare-approved amount </span>for doctor and other health care providers’ services.</li><li><p>You’ll also pay a copayment to the hospital for each service you get in a hospital outpatient setting (except for certain preventive services). In most cases, your copayment won’t be more than the Part A hospital stay deductible amount.</p><div class="ds-c-alert ds-c-alert--hide-icon m-evo-note--info"><div class="ds-c-alert__body m-evo-note--body"><div class="ds-c-alert__text">This additional hospital copayment means you may pay more for an outpatient service you get in a hospital than you’d pay if you got the same service in a doctor’s office.</div></div></div></li></ul><p><a href="https://www.medicare.gov/procedure-price-lookup/" data-entity-type="node" data-entity-uuid="df793ded-18c2-463e-b92a-3b1783c1a5ea" data-entity-substitution="canonical">Compare outpatient procedure costs under Original Medicare.</a></p></td></tr></tbody></table></div><div class="ds-c-alert ds-c-alert--hide-icon m-evo-note--info"><div class="ds-c-alert__body m-evo-note--body"><div class="ds-c-alert__text"><strong>Get help with Part A & Part B costs</strong><br>If you have limited income and resources, you may be able to get help from your state to pay your premiums and other costs. <a href="/basics/costs/help" data-entity-type="node" data-entity-uuid="0660acd2-15d7-487d-8251-3cce40c7e7d2" data-entity-substitution="canonical">Learn more about help with costs.</a></div></div></div><h2>Medicare Advantage Plan (Part C) costs</h2><div class="m-evo--table-wrapper"><table class="cke5-sticky-enabled"><thead><tr><th>Medicare Advantage Plan costs:</th><th>What you pay in 2024:</th></tr></thead><tbody><tr><td><strong>Premiums & other costs (like deductibles, copayments, & coinsurance)</strong></td><td><p><strong>Varies by plan.</strong> These amounts can change each year.</p><div class="ds-c-alert ds-c-alert--hide-icon m-evo-note--info"><div class="ds-c-alert__body m-evo-note--body"><div class="ds-c-alert__text"><strong>You must have Part B and keep paying your Part B premium to stay in your plan.</strong></div><div class="ds-c-alert__text"> <span class="m-evo-help-drawer" data-drawer-id="109251" data-size="std" data-title="Will my Medicare Advantage Plan help pay my Part B premium?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;Some plans will help pay all or part of your Part B premium. This is sometimes called a "Medicare Part B premium reduction." Contact your plan for more information.&lt;/p&gt;&lt;/div&gt; &lt;/div&gt;"> Will my Medicare Advantage Plan help pay my Part B premium? </span></div></div></div><p><a href="https://www.medicare.gov/plan-compare/" data-entity-type="node" data-entity-uuid="aeeeae9c-c5de-454e-ac81-17978ed3ce09" data-entity-substitution="canonical">Compare costs for specific health care plans.</a></p></td></tr><tr><td><strong>Out-of-pocket limit</strong></td><td><strong>Varies by plan.</strong> Once you pay the plan’s limit, the plan pays 100% of your covered health services for the rest of the calendar year.</td></tr></tbody></table></div><p> <span class="m-evo-help-drawer" data-drawer-id="109256" data-size="std" data-title="Where can I get more cost details from my plan?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;Review these notices your plan sends you each fall:&lt;/p&gt; &lt;ul&gt; &lt;li&gt;"&lt;a href="https://www.medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/evidence-of-coverage"&gt;Evidence of Coverage&lt;/a&gt;" (EOC). The EOC gives you details about what the plan covers, how much you pay, and more.&lt;/li&gt; &lt;li&gt;"&lt;a href="https://www.medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/upcoming-plan-changes"&gt;Annual Notice of Change&lt;/a&gt;" (ANOC). The ANOC includes any changes in coverage, costs, and more that will be effective in January.&lt;/li&gt; &lt;/ul&gt; &lt;p&gt;If you don't get these documents, contact your plan. &lt;a href="https://www.medicare.gov/plan-compare/#/"&gt;Get your plan's contact information.&lt;/a&gt;&lt;/p&gt;&lt;/div&gt; &lt;/div&gt;"> Where can I get more cost details from my plan? </span></p><p><a href="/health-drug-plans/health-plans/your-health-plan-options" data-entity-type="node" data-entity-uuid="517ea9b7-61aa-4cd9-9484-556f7a94f0a7" data-entity-substitution="canonical">Learn more about Medicare Advantage Plans.</a></p><div class="m-evo-h-with-icon"><div><i class="fa-kit fa-medication fa-3x"> </i></div><h2 class="ds-u-measure--wide"><a class="ck-anchor" id="part-d-costs">Part D (Drug Coverage) costs</a></h2></div><div class="m-evo--table-wrapper"><table class="cke5-sticky-enabled"><thead><tr><th>Part D costs:</th><th>What you pay in 2024:</th></tr></thead><tbody><tr><td><strong>Premium</strong></td><td><p><strong>Varies by plan.</strong> You may have to pay more, depending on your income.</p><p> <span class="m-evo-help-drawer" data-drawer-id="109266" data-size="wide" data-title="Who pays a higher Part D premium because of income?" data-content="&lt;div class="m-evo-help-drawer__content " &gt; &lt;div class="ds-content ds-content--m-evo clearfix"&gt;&lt;p&gt;You’ll pay the higher premium if your income is above a certain amount. The extra amount added to your Part D premium is called an Income Related Monthly Adjustment Amount (IRMAA).&lt;/p&gt;&lt;p&gt;The amount of IRMAA you pay depends on how you file your taxes and your modified adjusted gross income, &lt;strong&gt;as reported on your IRS tax return from 2 years ago.&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;Social Security will tell you if you have to pay a higher premium because of your income.&amp;nbsp;If you've had a life-changing event that reduced your household income, you can &lt;a href="https://www.ssa.gov/medicare/lower-irmaa" data-entity-type="node" data-entity-uuid="7930b62a-39fc-4482-a129-a9afc4d352e9" data-entity-substitution="canonical"&gt;ask Social Security to lower the additional amount you'll pay&lt;/a&gt;.&amp;nbsp;&lt;/p&gt;&lt;h2 class="m-evo--main-content--reset"&gt;Find out if you’ll pay a higher Part D premium in 2024:&lt;/h2&gt;&lt;table&gt;&lt;thead&gt;&lt;tr&gt;&lt;th colspan="4"&gt;&lt;strong&gt;If your filing status and yearly income in 2022&amp;nbsp;was&lt;/strong&gt;&lt;/th&gt;&lt;/tr&gt;&lt;tr&gt;&lt;th&gt;&lt;strong&gt;File individual tax return&lt;/strong&gt;&lt;/th&gt;&lt;th&gt;&lt;strong&gt;File joint tax return&lt;/strong&gt;&lt;/th&gt;&lt;th&gt;&lt;strong&gt;File married &amp;amp; separate tax return&lt;/strong&gt;&lt;/th&gt;&lt;th&gt;&lt;strong&gt;You pay each month&amp;nbsp;(in 2024)&lt;/strong&gt;&lt;/th&gt;&lt;/tr&gt;&lt;/thead&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td&gt;&dollar;103,000 or less&lt;/td&gt;&lt;td&gt;&dollar;206,000 or less&lt;/td&gt;&lt;td&gt;&dollar;103,000 or less&lt;/td&gt;&lt;td&gt;your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;103,000 up to &dollar;129,000&lt;/td&gt;&lt;td&gt;above &dollar;206,000 up to &dollar;258,000&lt;/td&gt;&lt;td&gt;not applicable&lt;/td&gt;&lt;td&gt;&dollar;12.90 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;129,000 up to &dollar;161,000&lt;/td&gt;&lt;td&gt;above &dollar;258,000 up to &dollar;322,000&lt;/td&gt;&lt;td&gt;not applicable&lt;/td&gt;&lt;td&gt;&dollar;33.30 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;161,000 up to &dollar;193,000&lt;/td&gt;&lt;td&gt;above &dollar;322,000 up to &dollar;386,000&lt;/td&gt;&lt;td&gt;not applicable&lt;/td&gt;&lt;td&gt;&dollar;53.80 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;193,000 and less than &dollar;500,000&lt;/td&gt;&lt;td&gt;above &dollar;386,000 and less than &dollar;750,000&lt;/td&gt;&lt;td&gt;above &dollar;103,000&amp;nbsp;and less than&amp;nbsp;&dollar;397,000&lt;/td&gt;&lt;td&gt;&dollar;74.20 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&dollar;500,000 or above&lt;/td&gt;&lt;td&gt;&dollar;750,000 or above&lt;/td&gt;&lt;td&gt;&dollar;397,000 or above&lt;/td&gt;&lt;td&gt;&dollar;81.00 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;h2&gt;Find out if you’ll pay a higher Part D premium in 2025:&lt;/h2&gt;&lt;table&gt;&lt;thead&gt;&lt;tr&gt;&lt;th colspan="4"&gt;&lt;strong&gt;If your filing status and yearly income in 2023&amp;nbsp;was&lt;/strong&gt;&lt;/th&gt;&lt;/tr&gt;&lt;tr&gt;&lt;th&gt;&lt;strong&gt;File individual tax return&lt;/strong&gt;&lt;/th&gt;&lt;th&gt;&lt;strong&gt;File joint tax return&lt;/strong&gt;&lt;/th&gt;&lt;th&gt;&lt;strong&gt;File married &amp;amp; separate tax return&lt;/strong&gt;&lt;/th&gt;&lt;th&gt;&lt;strong&gt;You pay each month&amp;nbsp;(in 2025)&lt;/strong&gt;&lt;/th&gt;&lt;/tr&gt;&lt;/thead&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td&gt;&dollar;106,000 or less&lt;/td&gt;&lt;td&gt;&dollar;212,000 or less&lt;/td&gt;&lt;td&gt;&dollar;106,000 or less&lt;/td&gt;&lt;td&gt;your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;106,000 up to &dollar;133,000&lt;/td&gt;&lt;td&gt;above &dollar;212,000 up to &dollar;266,000&lt;/td&gt;&lt;td&gt;not applicable&lt;/td&gt;&lt;td&gt;&dollar;13.70 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;133,000 up to &dollar;167,000&lt;/td&gt;&lt;td&gt;above &dollar;266,000 up to &dollar;334,000&lt;/td&gt;&lt;td&gt;not applicable&lt;/td&gt;&lt;td&gt;&dollar;35.30 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;167,000 up to &dollar;200,000&lt;/td&gt;&lt;td&gt;above &dollar;334,000 up to &dollar;400,000&lt;/td&gt;&lt;td&gt;not applicable&lt;/td&gt;&lt;td&gt;&dollar;57.00 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;above &dollar;200,000 and less than &dollar;500,000&lt;/td&gt;&lt;td&gt;above &dollar;400,000 and less than &dollar;750,000&lt;/td&gt;&lt;td&gt;above &dollar;106,000&amp;nbsp;and less than&amp;nbsp;&dollar;394,000&lt;/td&gt;&lt;td&gt;&dollar;78.60 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&dollar;500,000 or above&lt;/td&gt;&lt;td&gt;&dollar;750,000 or above&lt;/td&gt;&lt;td&gt;&dollar;394,000 or above&lt;/td&gt;&lt;td&gt;&dollar;85.80 + your plan premium&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;p&gt;Premium amounts listed don't include any late enrollment penalties.&amp;nbsp;&lt;/p&gt;&lt;/div&gt; &lt;/div&gt;"> Who pays a higher Part D premium because of income? </span></p><p>Avoid paying a penalty:</p><ul><li>Join a Medicare drug plan when you first get Medicare Part A and/or Part B, <strong>and</strong></li><li>Don’t go 63 days or more without <span data-tooltip-id="56071" class="m-evo-tooltip" data-content="<p><strong>Creditable prescription drug coverage</strong><br /> Prescription drug coverage that’s expected to pay, on average, at least as much as Medicare drug coverage. This could include drug coverage from a current or former employer or union, TRICARE, Indian Health Service, VA, or individual health insurance coverage.</p>"> creditable drug coverage </span> (coverage that’s similar in value to Part D).</li></ul><p><a href="/basics/costs/medicare-costs/avoid-penalties" data-entity-type="node" data-entity-uuid="4af31631-d671-4765-941c-f211b71116b6" data-entity-substitution="canonical">Find out more about the Part D penalty.</a></p></td></tr><tr><td><strong>Deductibles, copayments, & coinsurance</strong></td><td><strong>Varies by plan and pharmacy.</strong> <a href="https://www.medicare.gov/plan-compare/" data-entity-type="node" data-entity-uuid="aeeeae9c-c5de-454e-ac81-17978ed3ce09" data-entity-substitution="canonical">Find Medicare drug plans in your area</a>, and compare their costs and coverage.</td></tr></tbody></table></div><div class="ds-c-alert ds-c-alert--hide-icon m-evo-note--info"><div class="ds-c-alert__body m-evo-note--body"><div class="ds-c-alert__text"><strong>Get help with drug costs</strong><br>If you have limited income and resources, you may be able to get <span data-tooltip-id="55976" class="m-evo-tooltip" data-content="<p><strong>Extra Help</strong><br /> A Medicare program for people with limited income and resources that helps lower Medicare drug plan costs (like premiums, deductibles, and coinsurance).</p>"> Extra Help </span> to pay your plan premiums and other drug costs. If you qualify, you won’t have to pay the Part D late enrollment penalty. <a href="/basics/costs/help" data-entity-type="node" data-entity-uuid="0660acd2-15d7-487d-8251-3cce40c7e7d2" data-entity-substitution="canonical">Learn more about help with costs.</a></div></div></div><p><a href="/drug-coverage-part-d" data-entity-type="node" data-entity-uuid="b97bde03-a645-4818-b7c6-3c51bab6ffbc" data-entity-substitution="canonical">Learn more about Part D.</a></p><div class="m-evo-h-with-icon"><div><i class="fa-kit fa-first-aid fa-3x"> </i></div><h2 class="ds-u-measure--wide"><a class="ck-anchor" id="medigap">Medicare Supplemental Insurance (Medigap)</a></h2></div><div class="m-evo--table-wrapper"><table class="cke5-sticky-enabled"><thead><tr><th>Medigap costs:</th><th>What you pay in 2024:</th></tr></thead><tbody><tr><td><strong>Premium</strong></td><td><p><strong>Varies based on which </strong><span data-tooltip-id="55966" class="m-evo-tooltip" data-content="<p><strong>Medicare Supplement Insurance (Medigap)</strong><br /> An insurance policy you can buy to help lower your share of certain costs for Part A and Part B services (Original Medicare).</p>"> Medigap </span><strong> policy you buy, where you live, and other factors.</strong> The amount can change each year.</p><div class="ds-c-alert ds-c-alert--hide-icon m-evo-note--info"><div class="ds-c-alert__body m-evo-note--body"><div class="ds-c-alert__text">You must have Part B and keep paying your Part B premium to keep your Medigap policy.</div></div></div></td></tr><tr><td><strong>Other costs</strong></td><td><ul><li>Medigap usually helps pay your portion of the costs (like deductibles and coinsurance) for services that Part A and Part B cover in Original Medicare. The amount you’ll pay for Part A and Part B services if you have a Medigap policy varies depending on the policy you buy.</li><li>Some Medigap policies include extra benefits to lower your costs, like coverage when you travel out of the country.</li></ul></td></tr></tbody></table></div><p><a href="/health-drug-plans/medigap/basics" data-entity-type="node" data-entity-uuid="24164c89-b7df-416f-8a12-dae9ce575936" data-entity-substitution="canonical">Learn more about Medigap and its costs.</a></p><p> </p><h2 class="m-evo--main-content--reset">What do you want to do next?</h2><ul><li>Next Step: <a href="/basics/costs/help" data-entity-type="node" data-entity-uuid="0660acd2-15d7-487d-8251-3cce40c7e7d2" data-entity-substitution="canonical">Get help with costs</a></li><li>Take Action: <a href="/talk-to-someone" data-entity-type="node" data-entity-uuid="b923c1e4-75a3-4acd-9d76-59852baf9ee6" data-entity-substitution="canonical">Talk to someone</a></li><li>Get details: <a 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