Part A (Hospital Insurance) costs
| Part A costs: | What you pay in 2023: |
|---|---|
| Premium | $1,600 for each inpatient hospital benefit period, before Original Medicare starts to pay. There’s no limit to the number of benefit periods you can have in a year. This means you may pay the deductible more than once a year. How do benefit periods work? |
| Deductible | $1,600 for each inpatient hospital benefit period, before Original Medicare starts to pay.There’s no limit to the number of benefit periods you can have in a year. This means you may pay the deductible more than once in a year. How do benefit periods work? |
| Inpatient stay | Days 1-60: $0 after you pay your Part A deductible.Days 61-90: $400 copayment each day.Days 91-150: $800 copayment each day while using your 60 lifetime reserve days.After day 150: You pay all costs.What’s not covered? What will I pay if I get mental health services as an inpatient? |
| Skilled nursing facility stay | Days 1-60: $0 after you pay your Part A deductible.Days 61-90: $400 copayment each day.Days 91-150: $800 copayment each day while using your 60 lifetime reserve days.After day 150: You pay all costs. What’s not covered? What will I pay if I get mental health services as an inpatient? |
| Home health care | $0 for covered home health care services.20% of the Medicare-approved amount for durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment) |
| Hospice care | Days 1-20: $0 copayment.Days 21-100: $200 copayment each day. Days 101 and beyond: You pay all costs. |
Part B (Medical Insurance) costs
| Part B costs: | What you pay in 2023: |
|---|---|
| Premium | $164.90 each month (or higher depending on your income). The amount can change each year. You’ll pay the premium each month, even if you don’t get any Part B-covered services.Who pays a higher Part B premium because of income? You might pay a monthly penalty if you don’t sign up for Part B when you’re first eligible for Medicare (usually when you turn 65). You’ll pay the penalty for as long as you have Part B. The penalty goes up the longer you wait to sign up. Find out how the Part B penalty works and how to avoid it. |
| Deductible | $226, before Original Medicare starts to pay. You pay this deductible once each year. |
| General costs for services (coinsurance) | $164.90 each month (or higher depending on your income). The amount can change each year. You’ll pay the premium each month, even if you don’t get any Part B-covered services. Who pays a higher Part B premium because of income? You might pay a monthly penalty if you don’t sign up for Part B when you’re first eligible for Medicare (usually when you turn 65). You’ll pay the penalty for as long as you have Part B. The penalty goes up the longer you wait to sign up. Find out how the Part B penalty works and how to avoid it. |
| Clinical laboratory services | $0 for covered clinical laboratory services. |
| Home health care | $0 for covered home health care services.20% of the Medicare-approved amount for durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment). |
| Inpatient hospital care | 20% of the Medicare-approved amount for most doctor services while you’re a hospital inpatient. |
| Outpatient mental health care | $0 for your yearly depression screening.20% of the Medicare-approved amount for visits to your doctor or other health care provider to diagnose or treat your condition.If you get your services in a hospital outpatient clinic or hospital outpatient department, you may have to pay an additional amount to the hospital. |
| Partial hospitalization mental health care | After you meet the Part B deductible:20% of the Medicare-approved amount for each service you get from a doctor or certain other qualified mental health professionalCoinsurance for each day of partial hospitalization services you get in a hospital outpatient setting or community mental health center |
| Outpatient hospital care | Usually, 20% of the Medicare-approved amount is for doctors and other healthcare providers’ services. You’ll also pay a copayment to the hospital for each service you get in a hospital outpatient setting (except for certain preventive services). In most cases, your copayment won’t be more than the Part A hospital stay deductible amount. This additional hospital copayment means you may pay more for an outpatient service you get in a hospital than you’d pay if you got the same service in a doctor’s office. Compare outpatient procedure costs under Original Medicare. |
Get help with Part A & Part B costs
If you have limited income and resources, you may be able to get help from your state to pay your premiums and other costs. Learn more about help with costs.
Medicare Advantage Plan (Part C) costs
| Medicare Advantage Plan costs: | What you pay in 2023: |
|---|---|
| Premiums & other costs (like deductibles, copayments, & coinsurance) | Varies by plan. These amounts can change each year. You must have Part B and keep paying your Part B premium to stay in your plan. Will my Medicare Advantage Plan help pay my Part B premium? Compare costs for specific health care plans. |
| Out-of-pocket limit | Varies by plan. Once you pay the plan’s limit, the plan pays 100% of your covered health services for the rest of the calendar year. |
Where can I get more cost details from my plan?
Learn more about Medicare Advantage Plans.
Part D (Drug Coverage) costs
| Part D costs: | What you pay in 2023: |
|---|---|
| Premium | Varies by plan. You may have to pay more, depending on your income. Who pays a higher Part D premium because of income? Avoid paying a penalty: Join a Medicare drug plan when you first get Medicare Part A and/or Part B, and don’t go 63 days or more without creditable drug coverage (coverage that’s similar in value to Part D). Find out more about the Part D penalty. |
| Deductibles, copayments, & coinsurance | Varies by plan and pharmacy. Find Medicare drug plans in your area, and compare their costs and coverage. |
Get help with drug costs
If you have limited income and resources, you may be able to get Extra Help to pay your plan premiums and other drug costs. If you qualify, you won’t have to pay the Part D late enrollment penalty. Learn more about help with costs. Learn more about Part D.
Medicare Supplemental Insurance (Medigap)
| Medigap costs: | What you pay in 2023: |
|---|---|
| Premium | Varies based on which Medigap policy you buy, where you live, and other factors. The amount can change each year.You must have Part B and keep paying your Part B premium to keep your Medigap policy. |
| Other costs | Varies based on which Medigap policy you buy, where you live, and other factors. The amount can change each year. You must have Part B and keep paying your Part B premium to keep your Medigap policy. |
Learn more about Medigap and its costs.
What do you want to do next?
Disclaimer: The content in this article is provided for general informational purposes only. It may not be accurate, complete, or up-to-date and should not be relied upon as legal, financial, or other professional advice. Any actions or decisions taken based on this information are the sole responsibility of the user. Medicare-365 and/or BL Monahan Inc expressly disclaims any liability for any loss, damage, or harm that may result from reliance on this information. Please note that this article may contain affiliate endorsements and advertisements. The inclusion of such does not indicate an endorsement or approval of the products or services linked. Medicare-365 and/or BL Monahan Inc does not accept responsibility for the content, accuracy, or opinions expressed on any linked website. When you engage with these links and decide to make a purchase, we may receive a percentage of the sale. This affiliate commission does not influence the price you pay, and we disclaim any responsibility for the products or services you purchase through these links.
