2019 Medicare Premiums at a Glance

Here is a look at the 2019 Medicare premiums for each part of Medicare, along with how much these premiums increased from 2018.

Man sitting at a table reviewing documents

2019 Medicare Part A premium

Medicare Part A (hospital insurance) helps provide coverage for inpatient care costs at hospitals and other types of inpatient facilities.

Most people do not pay a premium for Medicare Part A in 2019.

To qualify for premium-free Part A, you must have worked and payed Medicare taxes for 40 quarters (10 years).

If you paid Medicare taxes for only 30-39 quarters, your 2019 Part A premium will be $240 per month. If you paid Medicare taxes for fewer than 30 quarters, your premium will be $437 per month.

How it changed from 2018
The 2019 Part A premiums increased a little over 3 percent from 2018.

2019 Medicare Part B premium

Medicare Part B providers coverage for doctor’s office visits and other types of outpatient care, along with durable medical equipment (DME). 

The standard monthly Medicare Part B premium is $135.50 in 2019. While most people pay only the standard premium, higher income earners will be charged a higher premium.

This higher Part B premium is called the Income-Related Monthly Adjusted Amount (IRMAA). If you must pay a Medicare IRMAA, it will be based on your reported income from two years ago.

The table below illustrates how your 2019 Part B premiums could be affected by your reported income in 2017.

Medicare Part B Premiums 2019

2017 Individual tax return

2017 Joint tax return

2017 Married and separate tax return

2019 Part B premium

$85,000 or less

$170,000 or less

$85,000 or less

$135.50

More than $85,000 and up to $107,000

More than $170,000 and up to $214,000

N/A

$189.60

More than $107,000 up to $133,500

More than $214,000 up to $267,000

N/A

$270.90

More than $133,500 up to $160,000

More than $267,000 up to $320,000

N/A

$352.20

More than $160,000 up to $500,000

More than $320,000 up to $750,000

More than $85,000 up to $415,000

$433.40

More $500,000

More than $750,000

More than $415,000

$460.50

Medicare Part B is optional. You will likely be automatically enrolled in Part B (with the option to drop it) if you are automatically enrolled in Medicare Part A.

Your Part B premium can be deducted from your monthly benefit payment if you receive benefits from either Social Security, the Railroad Retirement Board or the Office of Personnel Management.

If you don’t receive any of these benefit payments, you will simply get a bill in the mail for your Part B premium.

How it changed from 2018
The 2019 Part B premiums rose by close to 1.1 percent from 2018 across all income levels.

  • By law, Part B premiums for current Medicare beneficiaries may not increase by more than the amount of the cost-of-living adjustment (COLA) for Social Security or Railroad Retirement Board benefits.

  • The COLA in 2019 is 2.8 percent.

An additional income bracket was added in 2019. In 2020, the IRMAA will be indexed to inflation for the first time since 2010.

It’s expected that the income thresholds that determine when someone pays a Medicare IRMAA will rise slightly in 2020. This means that fewer people may have to pay the IRMAA, and the adjustment will delay when other beneficiaries are required to pay more for their 2020 Part B premiums.

2019 Medicare Part C premiums

Medicare Part C plans, also known as Medicare Advantage plans, are sold on the private marketplace. Plan premiums will vary by provider, plan and location.

The Centers for Medicare and Medicaid Services (CMS) reports that the average Medicare Advantage plan premium in 2019 will be $28.00 per month. This represents a 6 percent decrease from the average Medicare Advantage plan premium in 2018.

2019 Medicare Part D premiums

Medicare Part D plans, which provide coverage exclusively for prescription medications, are also sold by private insurance companies, so Part D plan premiums will vary from plan to plan.

The average Part D plan premium in 2019 is around $41.21 per month, which is a 2 percent increase from the 2018 average premium.1

Part D plan premiums can also be subject to a Medicare IRMAA for higher income earners. The table below shows the extra amount you might pay for Medicare Part D premiums in 2019 based on your reported income from 2017.

The full breakdown is as follows:

2019 Medicare Part D IRMAA
2017 Individual tax return 2017 Joint tax return 2017 Married and separate tax return 2019 Part D premium

$85,000 or less

$170,000 or less

$85,000 or less

Your plan premium

More than $85,000 and up to $107,000

More than $170,000 and up to $214,000

N/A

You plan premium + $12.40

More than $107,000 up to $133,500

More than $214,000 up to $267,000

N/A

Your plan premium + $31.90

More than $133,500 up to $160,000

More than $267,000 up to $320,000

N/A

Your plan premium + $51.40

More than $160,000 up to $500,000

More than $320,000 up to $750,000

More than $85,000 up to $415,000

Your plan premium + $70.90

More $500,000

More than $750,000

More than $415,000

Your plan premium + $77.40

Are you looking for Medicare prescription drug plan? You can compare Part D plans in your area and enroll in a Part D prescription drug plan online in as little as 10 minutes when you visit MyRxPlans.com.2

Enroll in Medicare Part D at MyRxPlans.com

Visit MyRxPlans.com

2019 Medicare Supplement Insurance (Medigap) premiums

Medicare Supplement Insurance (Medigap) provides coverage for some of the out-of-pocket costs that Medicare Part A and Part B don't cover. This can include costs such as Medicare deductibles, copayments, coinsurance and more.

Medigap plans are sold by private insurance companies so there is no standard premium. The average Medigap plan premium in 2018 was $125.93 per month.3

It's important to note that several factors can affect the Medicare Supplement plan premiums in 2019, such as gender, smoking status and where you live.

Some Medicare Advantage plans offer $0 premiums

Did you know that some Medicare Advantage plans offer $0 premiums?

$0 premium plans aren’t available in all locations, so call a licensed insurance agent today to compare the plans that are available where you live.

Call today to get started and to speak with a licensed agent.

 

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