The Centers for Medicare and Medicaid Services (CMS) sets the costs for Original Medicare each year. There are costs for both Medicare Part A and Part B.
Medicare Part A costs include:
Medicare Part A Premium
You will not have to pay a premium for Medicare Part A if you or your spouse have worked and had payroll taxes deducted for ten years (40 quarters) or more. That is called premium-free Part A.
You may still be able to enroll in Medicare Part A if you do not have the minimum number of work credits, but you will need to pay a monthly premium. The amount of the premium depends on how many work credits you have earned.
A benefit period starts when you are admitted to a hospital or skilled nursing facility. The benefit period ends once you have been out of the hospital and/or nursing facility for 60 days in a row.
There is no coinsurance for the first 60 days of inpatient care. After 60 days, you have to pay a coinsurance amount for each additional day you are admitted.
If you are eligible for Medicare but have to pay a Part A premium, you will be charged a late enrollment penalty if you do not sign up when you are first eligible. The penalty will be an additional 10% on top of your monthly premium amount. You will pay this additional amount for twice the number of years that you delayed enrollment.
Medicare Part B costs include:
The Social Security Administration will contact you if you have to pay Part B-IRMAA. The amount will be added to your monthly premium.
Most people do not get a bill for Medicare Part A or Part B because the payments are deducted from Social Security or Railroad Retirement benefits.
If you are not getting benefits from Social Security or the Railroad Retirement Board, you will get a bill in the mail. Medicare Part A is billed monthly. Medicare Part B is billed quarterly.
There are several ways you can pay your bill:
Have questions or need help enrolling?
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