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How Much Will You Pay For Medicare Part B?

Christian Worstell by Christian Worstell    |    Published Jul 28, 2020    |    Reviewed by John Krahnert

The standard Part B premium in 2019 is $135.50 per month, though you could potentially pay more, depending on your income. 

Your Medicare Part B premium largely depends on the income reported on your tax return from two years prior. For example, your Medicare Part B premium in 2019 is based on your reported 2017 total annual income, and your 2020 premium would be based on your reported 2018 income, and so on.

Use the helpful chart below to begin determining what you can expect to pay for your Medicare Part B coverage in 2019.

2017 income (individually filed)

2017 income (jointly filed)

2017 income (filed married & separate)

2019 monthly Medicare Part B cost

$85,000 or less

$170,000 or less

$85,000 or less


Above $85,000 to $107,000

Above $170,000 to $214,000

Not applicable


Above $107,000 to $133,500

Above $214,000 to $267,000

Not applicable


Above $133,500 to $160,000

Above $267,000 to $320,000

Not applicable


Above $160,000 and less than $500,000

Above $320,000 and less than $750,000

Above $85,000 and less than $415,000


$500,000 or above

$750,000 and above

$415,000 and above


Medicare Part B Premium Discounts and Regulations

You can save some money on your monthly costs by electing to have your Part B premium payments deducted directly from your Social Security checks. If you are supposed to pay $135.50 a month based on your income, having your premiums deducted from your paycheck may result in you actually paying less ($130 on average in 2018).

You’ll have to pay the standard premium if you are enrolling in Medicare Part B for the first time. Other reasons you might have to pay the standard Part B premium amount include:

  • You do not receive Social Security Benefits
  • Medicaid pays your monthly Part B premiums
  • You choose to be billed directly for your Part B coverage

In most cases, you will pay a late enrollment penalty if you do not sign up for Medicare Part B when you are first eligible. This penalty will be enforced for the rest of the time that you receive Part B coverage, and could increase by up to 10 percent for each 12-month period that you didn’t enroll in Part B once you became eligible.

Other Part B Out-of-Pocket Costs

The monthly premium is only one of the costs that Medicare beneficiaries have to pay for their Part B benefits. Other out-of-pocket Part B costs include:

  • An annual deductible
    The annual Medicare Part B deductible is $185 in 2019. You must pay this amount before Part B benefits begin.
  • Coinsurance
    You typically have to pay 20% of the Medicare-approved amount for medical services after your Part B deductible is met.
  • Part B excess charges
    Some health care service providers choose not to accept Medicare assignment, which means that they do not accept the Medicare-approved amount as payment in full for their services. If you receive medical services from a physician who doesn’t accept Medicare assignment, they could charge you up to 15 percent more than what Medicare will pay. In this situation, you are responsible for paying the difference in cost, which is referred to as Medicare Part B excess charges.

Millions of Medicare beneficiaries every year choose to rely on a Medicare Supplement Insurance policy (referred to also as Medigap) to help cover some of these costs. Each type of Medigap policy is required to cover the Medicare Part B coinsurance or copayment charges, and some plans even cover the Part B deductible or Part B excess charges.

Connect with a licensed insurance agent today at --ms-tfn-- to find Medigap plans in your area. 

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