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Your Monthly Premiums for Medicare

:: Part A (Hospital) Monthly Premium
:: Medicare Part A Late Enrollment Penalty
:: Part B (Medical) Monthly Premium
:: Medicare Part B Late Enrollment Penalty
:: Part C (Medicare Advantage) Monthly Premium
:: Part D (Medicare Prescription Drug Plan) Monthly Premium

Part A (Hospital) Monthly Premium

You usually don’t pay a monthly Premium for Part A coverage if you or your spouse paid Medicare taxes while working.

If you aren’t eligible for premium-free Part A, you may be able to buy Part A if you meet one of the following conditions:
  • You’re 65 or older, and you have (or are enrolling in) Part B and meet the citizenship and residency requirements.
  • You’re under 65, disabled, and your premium-free Part A coverage ended because you returned to work. (If you’re under 65 and disabled, you can continue to get premium-free Part A for up to 8 1/2 years after you return to work.)


The chart below shows the annual Part A deductible and the Part A monthly premium for people who do not qualify for premium-free Part A.

Medicare Part A Premium and Part A Deductible
Year Premium Deductible
2014 $426 $1,216
2013 $441 $1,184
2012 $451 $1,156
2011 $450 $1,132
2010 $461 $1,100
2009 $443 $1,068
2008 $423 $1,024
2007 $410 $992

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Medicare Part A Late Enrollment Penalty

If you aren’t eligible for premium-free Part A, and you don’t buy it when you’re first eligible, your monthly premium may go up 10%. You will have to pay the higher premium for twice the number of years you could have had Part A, but didn’t sign-up. For example, if you were eligible for Part A for 2 years but didn’t sign-up, you will have to pay the higher premium for 4 years. Usually, you don’t have to pay a penalty if you meet certain conditions that allow you to sign up for Part A during a Special Enrollment Period. If you aren’t eligible for premium-free Part A, and you don’t buy it when you’re first eligible, your monthly premium may go up 10%. You will have to pay the higher premium for twice the number of years you could have had Part A, but didn’t sign-up. For example, if you were eligible for Part A for 2 years but didn’t sign-up, you will have to pay the higher premium for 4 years. Usually, you don’t have to pay a penalty if you meet certain conditions that allow you to sign up for Part A during a Special Enrollment Period. Read more under Medicare Part A Special Enrollment Period.


Part B (Medical) Monthly Premium

How Much Does Part B Coverage Cost? You pay the Part B premium each month. Most people will pay up to the standard premium amount. However, if your modified adjusted gross income as reported on your IRS tax return from 2 years ago (the most recent tax return information provided to Social Security by the IRS) is above a certain amount (see chart below), you may pay more. This is called the income related monthly adjustment amount (IRMAA).

Your modified adjusted gross income is your adjusted gross income plus your tax exempt interest income. Each year, Social Security will notify you if you have to pay more than the standard premium. The amount you pay can change each year depending on your income. If you have to pay a higher amount for your Part B premium and you disagree, You can appeal the IRMAA.

Ways to Pay If you get Social Security, RRB, or Civil Service benefits, your Part B premium will get deducted from your benefit payment. If you don’t get these benefit payments and choose to sign up for Part B, you will get a bill. If you choose to buy Part A, you will always get a bill for your premium. You can mail your premium payments to the Medicare Premium Collection Center, P.O. Box 790355, St. Louis, Missouri 63179-0355. If you get a bill from the RRB, mail your premium payments to RRB, Medicare Premium Payments, P.O. Box 9024, St. Louis, Missouri 63197-9024.


Medicare Part B Late Enrollment Penalty

If you don’t sign up for Part B when you’re first eligible, you may have to pay a late enrollment penalty for as long as you have Medicare. Your monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B, but didn’t sign up for it. Usually, you don’t pay a late enrollment penalty if you meet certain conditions that allow you to sign up for Part B during a special enrollment period.

Example: Mr. Smith’s initial enrollment period ended September 30, 2010. He waited to sign up for Part B until the General Enrollment Period in March 2013. His Part B premium penalty is 20%. (While Mr. Smith waited a total of 30 months to sign up, this included only two full 12-month periods.)


Part B (Medical) Monthly Premium Charts

2014 Part B Premium
Click here for more information on the 2014 IRMAA
The 2014 Medicare Part B annual deductible is $147 (unchanged from 2013.

If Your Yearly Income Is You Pay
File Individual Tax Return File Joint Tax Return  
$85,000 or below $170,000 or below $104.90*
$85,001 - $107,000 $170,000 - $214,000 $146.90*
$107,001 - $160,000 $214,000 - $320,000 $209.80*
$160,001 - $214,000 $320,000 - $428,000 $272.70*
above $214,000 above $428,000 $335.70*


2013 Part B Premium
Click here for more information on the 2013 Part A/B premiums and deductibles
The 2013 Medicare Part B annual deductible is $147.

If Your Yearly Income Is You Pay
File Individual Tax Return File Joint Tax Return  
$85,000 or below $170,000 or below $104.90*
$85,001 - $107,000 $170,000 - $214,000 $146.90*
$107,001 - $160,000 $214,000 - $320,000 $209.80*
$160,001 - $214,000 $320,000 - $428,000 $272.70*
above $214,000 above $428,000 $335.70*


2012 Part B Premium
Click here for the CMS Press Release on 2012 Part A/B premiums and deductibles
The 2012 Medicare Part B annual deductible is $140.

If Your Yearly Income Is You Pay
File Individual Tax Return File Joint Tax Return  
$85,000 or below $170,000 or below $99.90*
$85,001 - $107,000 $170,001 - $214,000 $139.90*
$107,001 - $160,000 $214,001 - $320,000 $199.80*
$160,001 - $213,000 $320,001 - $426,000 $259.70*
above $213,000 above $426,000 $319.70*


2011 Part B Premium
Click here for the CMS Press Release on 2011 Part A/B premiums and deductibles
The 2011 Medicare Part B annual deductible is $162.

If Your Yearly Income is  
File Individual Tax Return File Joint Tax Return You pay
$85,000 or below $170,000 or below $161.50*
$85,001 - $107,000 $170,001 - $214,000 $134.90*
$107,001 - $160,000 $214,001 - $320,000 $230.70*
$160,001 - $213,000 $320,001 - $426,000 $299.90*
above $213,000 above $426,000 $369.10*


2010 Part B Premium
Click here for the CMS Press Release on 2010 Part A/B premiums and deductibles
The 2010 Medicare Part B annual deductible is $155.

If Your Yearly Income is  
File Individual Tax Return File Joint Tax Return You pay
$85,000 or below $170,000 or below $96.40 to
$110.50*
$85,001 - $107,000 $170,001 - $214,000 $154.70*
$107,001 - $160,000 $214,001 - $320,000 $221.00*
$160,001 - $214,000 $320,001 - $428,000 $287.30*
above $214,000 above $428,000 $353.60*


2009 Part B Premium
The 2009 Medicare Part B annual deductible is $135.

If Your Yearly Income is  
File Individual Tax Return File Joint Tax Return You pay
$85,000 or below $170,000 or below $96.40*
$85,001 - $107,000 $170,001 - $214,000 $134.90*
$107,001 - $160,000 $214,001 - $320,000 $192.70*
$160,001 - $213,000 $320,001 - $426,000 $250.50*
above $213,000 above $426,000 $308.30*


2008 Part B Premium
The 2008 Medicare Part B annual deductible is $135.

If Your Yearly Income is  
File Individual Tax Return File Joint Tax Return You pay
$82,000 or less $164,000 or less $96.40*
$82,001-$102,000 $164,001-$204,000 $122.20*
$102,001-$153,000 $204,001-$306,000 $160.90*
$153,001 - $205,000 $306,001 - $410,000 $199.70*
Above $205,000 Above $410,000 $238.40*


2007 Part B Premium
The 2007 Medicare Part B annual deductible is $131.

If Your Yearly Income is  
File Individual Tax Return File Joint Tax Return You pay
$80,000 or less $160,000 or less $93.50*
$80,001-$100,000 $160,001-$200,000 $105.80*
$100,001-$150,000 $200,001-$300,000 $124.40*
$150,001 - $200,000 $300,001 - $400,000 $142.90*
Above $200,000 Above $400,000 $161.40*

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Part C (Medicare Advantage) Monthly Premium

Actual plan premiums for Medicare Part C (Medicare Advantage) are available on www.medicare.gov on the web, or from the plan. You also pay the Part B premium* (and Part A if you don't get it premium-free), An extra premium may be charged for extra benefits.

Q1Medicare.com also offers a tool to compare Medicare Advantage plans (MA-Finder) at: http://www.q1medicare.com/PartD-SearchMA-MedicarePartDPlanFinder.php or you can browse by state and county at http://www.q1medicare.com/MedicareAdvantage-PartCHealthPlanMAPDStateOverview.php.


Part D (Medicare Prescription Drug Plan) Monthly Premium

Actual plan premiums* for Medicare Prescription Drug Plan (Part D) are available on www.medicare.gov on the web, or from the plan. You also pay the Part B premium (and Part A if you don't get it premium-free), or an amount for your Part D coverage is added to your Part C premium.

:: Use our 2014 Part D Plan Finder to See Plan Features and Premiums in Your State
:: Use our 2013/2014 Part D Plan Finder Comparison to See How Plans Have Changed

*If you pay a late-enrollment Penalty, this amount is higher.

(Primary Source: Centers for Medicare and Medicaid Services - Medicare and You Handbook. This content may have been added upon by Q1Group LLC to include further examples, explanations, and links.)
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