The Cost of Medicare Coverage
Paying for Medicare coverage works a little differently then how we paid our health insurance premiums during our working years. While most of us have paid one large premium for all of our healthcare coverage (Doctor, hospitalization, and drug coverage) during our working years, Medicare coverage is paid in several smaller amounts for individual parts of coverage.
Medicare Cost for Part A
Typically, there is no cost associated with Medicare Part A (Hospital Insurance). Usually, as long as you have worked and paid taxes for at least 10 years (40 quarters) you will be entitled to Part A at no cost. Often times, you will hear people refer to this also as “premium-free Part A”. You may also be eligible for Part A at no cost if your spouse has met the previously mentioned requirements.
If you have to buy Part A, you will pay up to $437 per month in 2019. Most people that paid Medicare taxes for less than 30 quarters will be charged the standard Part A premium of $437 in 2019. For most people that paid Medicare taxes for 30-39 quarters, the standard Part A premium will be $240 in 2019.
Medicare Costs for Part B
Premiums for Medicare Part B are based upon your modified adjusted gross income (MAGI) from 2 years ago; since this is the most recent tax return information provided to Social Security by the IRS. Items that contribute to your MAGI include: wages, interest, required minimum dividends from investments, capital gains, Social Security benefits, and tax-deferred pensions.
The standard part B premium for 2019 is $135.50 for those who are:
- Not collecting Social Security benefits
- Enrolled in Part B for the first time in 2017
- Part B premiums are paid by AHCCCS
For the most part, you will pay the standard Part B premium. However, if your income is over $85,000 (single) or $170,000 (married couple), then you may pay an Income Related Monthly Adjustment (IRMAA).
Your Part B premium will automatically be deducted from your benefit payment if you receive any of the following benefits:
- Railroad Retirement Board
- Social Security
- Office of Personnel Management
On Original Medicare, do I have any additional costs for Part B other than the monthly premium?
You will pay $185 per year in 2019 for your Part B deductible. After the deductible of $185 is met, you usually pay 20% of the Medicare-approved amount for the following:
- Outpatient therapy
- Most doctor services (including most doctor services while you are in a hospital inpatient)
- Durable Medical Equipment (DME)
See the chart below to find out what your premium will be in 2019.
Medicare Cost for Part D
Most Medicare Part D plans charge a monthly premium that varies by plan carrier. If you are enrolled in an Medicare Advantage Plan, or a Medicare Cost Plan that includes Medicare prescription drug coverage, your prescription drug coverage will most likely be included in your monthly premium, and in some Part C plans, there will not be a premium.
If you have a high income you may pay an extra amount on top of your standard plan premium. Just like with Part B of Medicare, if you make over $85,000 as an individual or over $170,000 if you file your taxes jointly then you will pay an Income Related Monthly Adjustment Amount also called an IRMAA. Below is a chart that will tell you the extra amount you may have to pay based on your income.
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