In 2019, people whose modified adjusted gross income from two years ago as reported on their federal tax return–about six percent of the Medicare population–pay:
- $189.60 a month, if their income is above $85,000 and no more than $107,000 ($2.10 increase from 2018)
- $270.90 a month, if their income is above $107,000 and no more than $133,500 ($3.00 increase from 2018)
- $352.20 a month, if their income is above $133,500 and no more than $160,000 ($3,90 increase from 2018)
- $433.40 a month, if their income is above $160,000 and less than $500,000 ($4.40 increase from 2018)
- $460.50 a month, if their income is above $500,000 ($27.10 increase from 2018)
To arrive at the premium amount for married people filing a joint tax return, double the income.
The 2019 Part B annual deductible is $185, up $2.00 from 2018.
People with incomes up to 135 percent of the federal poverty level, ($1,386 in monthly income for an individual and $1,872 for a couple in 2018; these amounts may increase in 2019) are eligible for help paying their premiums through Medicaid or a Medicare Savings Program.
For more than four decades, the Medicare Part B premium (medical insurance) was the same for everyone regardless of income, geography or health status, a quarter of the cost of Part B services. (Medicare Part A, hospital insurance, is premium-free if you have contributed into Social Security for at least 40 quarters.) In 2007, wealthier people with Medicare began paying higher premiums.
Here are 2019 Medicare Part A costs:
- The Part A hospital deductible is $1,364 and coinsurance for hospitalizations after day 60 is $341 a day in a benefit period; coinsurance for lifetime reserve days is $682 a day.
- The Part A daily coinsurance for skilled nursing facility stays after day 20 is $170.50.
Here’s more from Just Care:
- How to get dental care if you have Medicare
- Six tips for keeping your drug costs down if you have Medicare
- Four things to think about when choosing between traditional Medicare and a Medicare Advantage plan
- Good news for anyone looking for help losing weight: Medicare covers weight loss counseling
- If you want easy health care access and good quality care, you probably want traditional Medicare