2020 Medicare Premiums at a Glance

Medicare may be a government health insurance program, but that doesn’t mean it’s free.

Here is a look at the 2020 Medicare premiums for each part of Medicare, along with how much these premiums increased from 2019.

Grandfather and his granddaughter smile as they use tablet computer

2020 Medicare Part A premium

Medicare Part A is hospital insurance, and it 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 2020.

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

If you paid Medicare taxes for only 30-39 quarters, your 2020 Part A premium will be $252 per month. If you paid Medicare taxes for fewer than 30 quarters, your premium will be $458 per month.

How it changed from 2019
The 2020 Part A premiums increased by close to 5 percent from 2019.

2020 Medicare Part B premium

Medicare Part B is medical insurance, and it covers things like doctor’s office visits and other types of outpatient care, along with durable medical equipment (DME). 

The standard monthly Medicare Part B premium is $144.60 in 2020, though some beneficiaries who have higher reported incomes 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 2020 Part B premiums could be affected by your reported income in 2018.

Medicare Part B Premiums 2020
2018 Individual tax return 2018 Joint tax return 2018 Married and separate tax return 2020 Part B monthly premium

$87,000 or less

$174,000 or less

$85,000 or less


More than $87,000 and up to $109,000

More than $174,000 and up to $218,000



More than $109,000 up to $136,000

More than $218,000 up to $272,000



More than $136,000 up to $163,000

More than $272,000 up to $326,000



More than $163,000 up to $500,000

More than $326,000 up to $750,000

More than $87,000 up to $413,000


More $500,000

More than $750,000

More than $413,000


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 2019
The 2020 Part B premium rose by close to 7 percent from 2019.

  • 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 2020 is 1.6 percent.

Starting in 2020, the IRMAA is indexed to inflation for the first time since 2010.

The income thresholds that determine when someone pays a Medicare IRMAA have risen 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.

2020 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.

90 percent of Medicare Advantage plans include prescription drug coverage in 2020 (these are called MA-PD plans). Nearly half (49 percent) of all 2020 MA-PD plans charge no premium, other than the Medicare Part B premium.

The average 2020 Medicare Advantage plan premium is $36 per month for plans with prescription drug coverage. This average premium is down $4 from the average monthly premiums in 2019.1

Medicare Advantage plans are required to offer the same benefits as Original Medicare (Part A and Part B), and some Medicare Advantage plans may also offer additional benefits for things like routine dental and vision coverage, non-emergency transportation, caregiver support, allowances for over-the-counter (OTC) items and more.

And according to Medicare expert John Barkett, Medicare Advantage monthly premiums are dropping in 2020 by as much as 14 percent. Hear more about this in the video below.

2020 Medicare Part D premiums

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

The average Part D plan premium in 2020 is around $42.05 per month, which is roughly a 7% percent increase from the 2019 average premium.2

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 2020 based on your reported income from 2018.

The full breakdown is as follows:

2020 Medicare Part D Premiums
If you filed an individual 2018 tax return If you filed a joint 2018 tax return If you filed a married & separate 2018 tax return Your 2020 monthly costs
$87,000 or less $174,000 or less $87,000 or less Your Part D plan premium
$87,001 - $109,000 $174,001 - $218,000 N/A $12.20 + your Part D plan premium
$109,001 - $136,000 $218,001 - $272,000 N/A $31.50 + your Part D plan premium
$136,001 - $163,000 $272,001 - $326,000 N/A $50.70 + your Part D plan premium
$163,001 - $499,999 $326,001 - $749,999 $87,000 - $412,999 $70.00 + your Part D plan premium
$500,000 or above $750,000 or above $413,000 or above $76.40 + your Part D plan premium

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 or a Medicare Advantage plan that includes prescription drug coverage online.

You can find out if any plans available near you cover the prescription drugs you take, and the cost you can expect to pay under the plan.

Compare Medicare drug coverage options in your area

Compare Plans

Or call TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!

You can also compare Part D prescription drug plans and enroll online in as little as 10 minutes when you visit MyRxPlans.com.2

2020 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 2020, 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.

Compare Medicare Advantage plan costs in your area

Compare Plans

Or call TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!

2020 Medicare late enrollment penalties

Medicare Part A, Part B and Part D include late enrollment penalties that can be applied in certain situations.

  • For Part A, the late enrollment penalty is applied to anyone who did not sign up for Medicare during their Initial Enrollment Period and must buy Medicare Part A coverage.

    The Part A late enrollment penalty is 10 percent of any owed premium, which must be paid for twice the number of years for which you were eligible but did not enroll.

  • Part B beneficiaries may also have to pay a late enrollment penalty for every year they were eligible for Part B but did not sign up for it. The penalty is also 10 percent and is owed every year for as long as you continue to be enrolled in Medicare Part B.

  • For Part D, the late enrollment penalty is dependent on how long you went without a Part D plan or other creditable prescription drug coverage (such as a Medicare Advantage plan offering prescription drug coverage or certain employer-provided prescription drug plans).

    To calculate the Part D late enrollment penalty, Medicare multiples 1 percent of the “national base beneficiary premium” (which is $32.74 in 2020) by the number of months you went without coverage. And because the national base beneficiary premium can increase each year, so too can the penalty.

Paying Medicare premiums in 2020

As you’re learned in this article, not all Medicare premiums are alike. And neither are the ways in which they can be paid.  

If a premium is owed for Medicare Part A, a monthly bill is typically sent to the beneficiary.  

If you receive Social Security benefits, you can generally have your Part B, Medicare Advantage, Part D or Medicare Supplement Insurance premiums deducted directly from your Social Security check. Those who do not receive Social Security benefits are directly billed for their premiums.

Payment arrangements may include mailing a check, an electronic transfer from a bank account or charging a credit or debit card.

Discounts and financial assistance

Just like there are various methods of paying Medicare premiums, there are also some different ways to get help paying them.

  • Medicare Savings Programs can help pay for Part A and Part B premiums, and potentially other out-of-pocket costs.
  • Extra Help is a federal program that helps pay for Part D premiums.
  • PACE (Program of All-inclusive Care for the Elderly) can help alleviate the cost of a Part D plan.

In addition, because Medicare Advantage, Part D and Medigap plans are sold by private insurers, companies may offer various discounts and cost-saving incentives to customers.

Some of the offers that can be found may include discounts for households or married partners, non-smokers and more, but these will vary based on the plan provider.

Analyze Medicare premiums with a Licensed Agent

Deductibles, coinsurance and other out-of-pocket costs may not always be predictable expenses, but premiums will be there month after month.

When analyzing the cost of premiums for various parts of Medicare and plans associated with Medicare, consider what that premium affords you in terms of coverage and additional costs.

A licensed insurance agent can help you examine the 2020 premium costs of your Medicare options as you find a health insurance plan that suits your budget.

Compare Medicare plan premiums in your area

Compare Plans

Or call TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!


1 Jacobson, G. et al. (Oct. 24, 2019). Medicare Advantage 2020 Spotlight: First Look. Kaiser Family Foundation. Retrieved from www.kff.org/report-section/medicare-advantage-2020-spotlight-first-look-data-note.

2 Cubanski, J. Damico, A. (Nov. 14, 2019). Medicare Part D: A First Look at Prescription Drug Plans in 2020. Kaiser Family Foundation. Retrieved from www.kff.org/medicare/issue-brief/medicare-part-d-a-first-look-at-prescription-drug-plans-in-2020.

3 TZ Insurance Solutions LLC internal sales data, 2019. This data is based on the Medicare Supplement Insurance policies TZ Insurance Solutions LLC has sold. It is not a comprehensive national average of all available Medicare Supplement Insurance plan premiums.