Each year, Medicare changes the premiums and cost-sharing (deductibles, copays, and coinsurance) you pay for Medicare Part A and Part B. In most years, the changes are not drastic, and the changes for 2021 are relatively moderate. The chart below shows the changes for 2021.
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2020 & 2021 Part A & Part B costs at a glance |
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2020 |
2021 |
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Part A premium – Most people don’t pay a monthly premium for Part A |
If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $458. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $252. |
If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $471. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $259. |
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Part A hospital inpatient deductible and coinsurance |
You pay:
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You pay:
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Skilled nursing facility stay
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You pay:
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You pay:
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Part B premium |
The standard Part B premium amount is $144.60 (or higher, depending on your income). |
The standard Part B premium amount is $148.50 (or higher, depending on your income). |
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Part B deductible and coinsurance |
$198 Deductible. After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you’re a hospital inpatient), outpatient therapy, and durable medical equipment (DME) |
$203 Deductible. After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you’re a hospital inpatient), outpatient therapy, and durable medical equipment (DME) |
In most cases, Medicare beneficiaries will pay the standard Part B premium. However, you may have to pay more than the standard Part B premium based on your income level Medicare calls this adjustment. the Medicare Income-Related Monthly Adjustment Amount (IRMAA). This income adjustment can increase your Part B and Part D (Prescription drug benefits) premiums. The table below shows the IRMAA adjusted premiums for 2021.
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If your yearly income in 2018 (for what you pay in 2020) or in 2019 (for what you pay in 2021) was |
For Part B, you pay each month (in 2020) |
For Part B, you pay each month (in 2021) |
For Part D, you pay each month (in 2020) |
For Part D, you pay each month (in 2021) |
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File individual tax return |
File joint tax return |
File married & separate tax return |
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$87,000 or less |
$174,000 or less |
$87,000 or less |
$144.60 |
$148.50 |
your plan premium |
your plan premium |
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above $87,000 up to $109,000 |
above $174,000 up to $218,000 |
Not applicable |
$202.40 |
$207.90 |
$12.20 + your plan premium |
$12.30 + your plan premium |
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above $109,000 up to $136,000 |
above $218,000 up to $272,000 |
Not applicable |
$289.20 |
$297.00 |
$31.50 + your plan premium |
$31.80 + your plan premium |
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above $136,000 up to $163,000 |
above $272,000 up to $326,000 |
Not applicable |
$376.00 |
$386.10 |
$50.70 + your plan premium |
$51.20 + your plan premium |
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above $163,000 and less than $500,000 |
above $326,000 and less than $750,000 |
above $87,000 and less than $413,000 |
$462.70 |
$475.20 |
$70.00 + your plan premium |
$70.70 + your plan premium |
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$500,000 or above |
$750,000 and above |
$413,000 and above |
$491.60 |
$504.90 |
$76.40 + your plan premium |
$77.10 + your plan premium |
The data above is from the CMS Medicare Costs at a Glance website updated with 2021 costs.
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