Medicare Resources

How Much Does Medicare Cost?

Medicare premiums aren't one-size-fits-all. What you pay depends on your work history, your income, and which coverage you choose. Here's what to know before you use the calculator below.

Part A (hospital coverage) is premium-free for most people who worked at least 10 years and paid Medicare taxes. Part B (medical coverage) carries a standard monthly premium — currently $185.00 — but higher-income individuals pay more through an income adjustment called IRMAA.

Beyond premiums, Original Medicare also has deductibles and 20% coinsurance with no out-of-pocket cap. Many Oregonians pair it with a Medicare Supplement or switch to Medicare Advantage to get more predictable costs.

Not sure what to expect? Let's talk.

The calculator gives you an estimate — but your actual out-of-pocket costs depend on your plan choice, your doctors, and your prescriptions. I can walk through the real numbers with you for free.

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2025 Baseline Costs

Part A premium$0 (most people)
Part B premium$185.00 / mo
Part B deductible$257 / year
Part B coinsurance20% (no cap)
Part A deductible$1,676 / benefit period

IRMAA note: If your income was above $106,000 (individual) or $212,000 (joint) two years ago, expect a higher Part B premium. You can appeal this with SSA if your income has since dropped.

Common Questions About Medicare Costs

How much does Medicare Part A cost?
Most people pay $0 for Part A because they (or a spouse) worked at least 10 years and paid Medicare taxes. If you don't meet that threshold, you may pay up to $518/month in 2025. Part A covers inpatient hospital care, skilled nursing facility care, hospice, and some home health services.
How much does Medicare Part B cost?
The standard Part B premium in 2025 is $185.00/month. Higher-income individuals pay more through IRMAA. If your income two years ago exceeded $106,000 (individual) or $212,000 (married filing jointly), expect an additional surcharge on top of the standard premium.
Does income affect Medicare premiums?
Yes — for Part B and Part D. SSA calculates your IRMAA surcharge based on your Modified Adjusted Gross Income (MAGI) from two years prior. If you've had a significant income drop since then (retirement, divorce, death of a spouse), you can file Form SSA-44 to appeal the higher premium.
What other Medicare costs should I plan for?
Beyond premiums, Original Medicare has a Part A deductible ($1,676 per benefit period), a Part B deductible ($257/year), and 20% coinsurance for most Part B services with no annual out-of-pocket limit. Many people add a Medigap policy or switch to Medicare Advantage to cap their exposure.
Do Medicare Advantage plans cost less than Original Medicare?
Medicare Advantage plans often advertise $0 monthly premiums beyond your Part B premium, but they have copays, coinsurance, and an annual out-of-pocket maximum. Whether they cost less overall depends on how much care you use. A local agent can compare plans using your doctors and prescriptions.

A 30-minute conversation can clear up a lot.

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