Home > Costs > Medicare Part B Premiums and...

Medicare Part B Premiums and Other Costs

Christian Worstell by Christian Worstell    |    Published Oct 03, 2019    |    Reviewed by John Krahnert

When you enroll in Original Medicare, you’ll notice that your health benefits are divided into two parts — Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). Many beneficiaries receive Part A benefits premium-free, but everyone typically pays a monthly premium for Part B.

Senior couple reads in library

How Much Will You Pay for the Part B Premium Costs?

The standard Medicare Part B premium in 2019 is $135.50 a month. This premium applies to you if you earn $85,000 a year or less ($170,000 for a married couple) and if one of the following applies to you:

  • You’re enrolling for the first time in 2019
  • You don’t receive Social Security benefits
  • You’re billed directly for your Part B premium
  • You have both Medicare and Medicaid and your premiums are paid for by your state

If you get Social Security benefits, you may pay less because the Part B premium increased more than the cost-of-living increase for 2019 Social Security benefits. If your Medicare Part B premiums is paid out of your monthly Social Security benefits, you’ll typically pay $130 a month on average.

If you have a higher income, you may pay more for your monthly Medicare Part B premium.

Rules For Higher-Income Medicare Beneficiaries

If your yearly income is above $85,000 (or above $170,000 if you file taxes jointly with your spouse), you will most likely pay more than the standard Part B premium, based on the income you report to the IRS on your federal tax return. This additional amount is called the Income-Related Monthly Adjustment Amount (IRMAA).

Depending on your income, your Medicare Part B premium could range from $135.50 to $460.50 per month in 2019. 1

How To Pay Your Part B Premium

If you get Social Security or Railroad Retirement Board (RRB) benefits, your Part B premium will typically be deducted from your benefit payment. Otherwise, you’ll most likely get a bill called a Medicare Premium Bill around the 10th of every month, which you can pay:

  • Through your bank’s online bill payment service
  • By mailing a check or money order to the Medicare Premium Collection Center
  • By credit or debit card
  • Through Medicare’s free electronic payment option, Medicare Easy Pay

Other Costs Associated With Medicare Part B

In addition to your monthly premium, you pay $185 per year in 2019 for your Part B deductible. Once your deductible is met, you generally pay a coinsurance of 20% of the Medicare-approved amount for medically necessary care and services. 

The out-of-pocket costs associated with Medicare (like your premiums, deductibles and coinsurance) can add up quickly. It’s important to know what your health insurance coverage options are.

Learn about Medicare Supplement Insurance (also called Medigap), which can help cover some of these costs that Original Medicare doesn’t. You could potentially save money and make your health care costs more predictable.

To learn more about Medicare, read through some of our guides below.


Resource Center

Medicare Supplement insurance (Medigap)

Medicare Supplement insurance (Medigap) helps cover some Original Medicare out-of-pocket costs. Learn more about plan benefits, eligibility, and costs.

Read More

Medigap or Medicare Advantage?

If you aren't satisfied with Original Medicare coverage, you may consider Medicare Advantage or Medigap. How do the two differ?

Read More

Medicare Part D

Medicare Part D plans provide coverage for prescription drugs. Use this guide to learn what you should know about Medicare prescription drug benefits.

Read More

Medicare Eligibility Requirements

The primary requirement for Medicare eligibility is reaching age 65. People with certain disabilities or conditions may also qualify for Medicare coverage.

Read More

Medicare Supplement Insurance for People Under 65 With Disabilities

Are you under age 65 and have Medicare because of a disability? You may be eligible to purchase Medicare Supplement Insurance. Learn more and compare plans.

Read More

Medicare Eligibility and Enrollment

Most beneficiaries will be automatically enrolled in Original Medicare when they turn 65. Learn more about Medicare eligibility and enrollment requirements

Read More

The Average Cost of Medigap Plan F and Plan G by Age

Find out the average cost of Medicare Supplement Insurance (Medigap) Plan F and Plan G by age, from 64 to 85. Learn the average cost for your age.

Read More

State-Specific Medicare Supplement Information

Learn about Medicare Supplement (Medigap) plans in your state. Find out about eligibility, enrollment, costs, coverage and more by clicking on your state.

Read More

Medicare Out-of-Pocket Costs

Medicare's out-of-pocket expenses can cost thousands of dollars per year for beneficiaries. Here's what you can do.

Read More

Every 13 minutes, we help someone enroll in a plan.

Sign up for more information!

Enter your email address and get a free guide to Medicare and Medicare Supplement Insurance.

Sign Up Now