2025 Premiums and Costs for Medicare
Prices below reflect cost and coverage for various healthcare with your Original Part A, Part B and Part D.
Click the toggle below to switch between Medicare Part A Costs and Medicare Part B Costs. Scroll down to see Part D Costs.
Premium
Most people do not pay a monthly Part A premium because they or a spouse has 40 or more quarters of Medicare-covered employment.
- $285/month for those with 30-39 quarters of Medicare-covered employment
- $518/month for those with fewer than 30 quarters of Medicare-covered employment
Skilled Nursing Facility
- $0 for the first 20 days of each benefit period
- $209.50 per day for days 21–100 of each benefit period
- All costs for each day after day 100 of the benefit period
Hospital Stay
- $0 for the first 60 days of each benefit period
- $419 per day for days 61–90 of each benefit period
- $838 per “lifetime reserve day” after day 90 of each benefit period (up to a maximum of 60 days over your lifetime)
Premium
Most people pay the standard Part B premium amount if income is below the threshold of $106,000 ($212,001 filing joint).
- If your income was more than $106,000 ($212,001 filing joint) you’ll pay $259.00
- If your income was more than $133,000 ($266,001 filing joint) you’ll pay $370.00
- If your income was more than $167,001 ($334,001 filing joint) you’ll pay $480.90
- If your income was more than $200,001 ($400,001 filing joint) you’ll pay $591.90
- If your income was more than $500,000 ($750,000 filing joint) you’ll pay $628.90
For Medical Services
- After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you’re a hospital inpatient), outpatient therapy, outpatient mental health services, certain home health services, and durable medical equipment.
Medicare Advantage vs. Original Medicare Part A & B
- Most people pay ZERO to $25 in additional premiums above their standard monthly premium.
- Medicare Advantage plans combine hospital and medical overage together (Parts A&B) into one plan and may cover more of your healthcare costs than Original Part A & B.
Medicare Part D
Thresholds & Premiums
- If your income was more than $106,000 ($212,000 filing joint) you’ll pay $13.70 + your plan premium
- If your income was more than $133,000 ($266,000 filing joint) you’ll pay $35.30 + your plan premium
- If your income was more than $167,000 ($334,000 filing joint) you’ll pay $57.00 + your plan premium
- If your income was more than $200,000 ($400,000 filing joint) you’ll pay $78.60 + your plan premium
- If your income was more than $500,000 ($750,000 filing joint) you’ll pay $85.80 + your plan premium
For 2025 Medicare Part D Costs, most drug plans charge a monthly fee that varies by plan. You pay this in addition to the Part B premium. If you’re in a Medicare Advantage Plan (Part C) or Medicare Cost Plan with drug coverage, the monthly premium may include an amount for drug coverage.
Deductibles, co-pays and other costs.
Deductibles vary between Medicare drug plans. Some Medicare drug plans don’t have a deductible.
-No Medicare drug plan may have a deductible more than $590 in 2025.
New in 2025, since they have eliminated the Donut Hole in 2025, once your deductible is met, you’ll pay a coinsurance (copay) for prescription drugs.
-Initial coverage limit is $2,000. Once you reach this amount, you’ll automatically get catastrophic coverage and won’t have to pay out-of-pocket for covered Part D drugs for the rest of the year.
Once you reach your threshold ($2,000), you won’t have to pay out-of-pocket for covered Part D drugs for the rest of the year.
In 2025, Medicare Part D will limit insulin copayments to $35 per month for covered prescriptions:
-This applies to insulin received through durable medical equipment, such as insulin pumps, through Medicare Part B
-There is no deductible
-The $35 limit applies even if you get Extra Help to lower your prescription drug costs
-A 3-month supply of insulin costs no more than $105
Vaccines covered under Medicare Part D will be free.
This means you pay no deductible, coinsurance or copay for vaccines — even the shingles vaccine — as well as RSV, Tetanus, Whooping Cough, Flu and Covid 19 — all covered by Medicare Part D.