Information deemed accurate when published, but not guaranteed. Information subject to change from time-to-time without notice.
Medicare Costs Breakdown
Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A"). If you buy Part A, you'll pay up to $471 each month in 2021. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $471 in 2021. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $259 in 2021. Part A Hospital Inpatient Deductible and Coinsurance.
- $1,484 in 2021 deductible for each benefit period
- Days 1-60: $0 coinsurance for each benefit period
- Days 61-90: $371 in 2021 coinsurance per day of each benefit period
- Days 91 and beyond: $742 in 2021 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)
- Beyond lifetime reserve days: all costs
Part B Premium
The standard Part B premium amount is $148.50 in 2021 (or higher depending on your income).
Part B Deductible and Coinsurance
$203 per year in 2021. After your deductible is met, you typically pay 20% of the amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and durable medical equipment.
What is a Benefit Period?
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. The benefit period ends when you haven't gotten any inpatient hospital care (or skilled care in a SNF) for 60 days in a row.
- Part A Deductible = $1,484 in 2021 (per benefit period)
- Part B Premium = $148.50 in 2021 (or higher depending on income)
- Part B Deductible and Coinsurance = $203 in 2021 (per year) and 20% of Medicare accepted charges
Quick Reference: Late Enrollment Penalties
- Medicare Part B – 10% per 12 months after initial enrollment window is missed.
- Medicare Part D / PDP Plans – Medicare calculates the penalty by multiplying 1% of the "national base beneficiary premium" ($33.06 in 2021) times the number of full, uncovered months you didn't have Part D or creditable coverage. The monthly premium is rounded to the nearest $.10 and added to your monthly Part D premium.
Medicare Supplement Enrollment Without Underwriting / Initial Enrollment
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