2016 Medicare Costs
Medicare Part A (Hospital Insurance) Costs
Part A Monthly Premium
Most people don’t pay a Part A premium because they paid Medicare taxes while working. If you don’t get premium-free Part A, you pay up to $411 each month.
Hospital Stay
In 2016, you pay
■ $1,288 deductible per benefit period
■ $0 for the first 60 days of each benefit period
■ $322 per day for days 61–90 of each benefit period
■ $644 per “lifetime reserve day” after day 90 of each benefit period (up to a maximum of 60 days over your lifetime)
Skilled Nursing Facility Stay
In 2016, you pay
■ $0 for the first 20 days of each benefit period
■ $161.00 per day for days 21–100 of each benefit period
■ All costs for each day after day 100 of the benefit period
Medicare Part B (Medical Insurance) Costs
Part B Monthly Premium
You pay a Part B premium each month. Most people who get Social Security benefits will continue to pay the same Part B premium amount as they paid in 2015. This is because there wasn’t a cost-of-living increase for 2016 Social Security benefits. You’ll pay a different premium amount in 2016 if:
■ You enroll in Part B for the first time in 2016.
■ You don’t get Social Security benefits.
■ You’re directly billed for your Part B premiums.
■ You have Medicare and Medicaid, and Medicaid pays your premiums. (Your state will pay the standard premium amount of
■ Your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount.
If you’re in 1 of these 5 groups, here’s what you’ll pay:
If your yearly income in 2014 was:
File individual File joint File married & separate You pay
tax return tax return tax return (in 2016)
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$85,000 or less $170,000 or less $85,000 or less $121.80
above $85,000 above $170,000 N/A $170.50
up to $107,000 up to $214,000
above $107,000 above $214,000 N/A $243.60
up to $160,000 up to $320,000
above $160,000 above $320,000 above $85,000 $316.70
up to $214,000 up to $428,000 up to $129,000
above $214,000 above $428,000 above $129,000 $389.80
If you have questions about your Part B premium, call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778. If you pay a late enrollment penalty, these amounts may be higher.
Part B Deductible—$166 per year
Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) Premiums
Visit Medicare.gov/find-a-plan to get plan premiums. You can also call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. You can also call the plan or your State Health Insurance Assistance Program.
Part D Monthly Premium
The chart below shows your estimated prescription drug plan monthly premium based on your income. If your income is above a certain limit, you will pay an income-related monthly adjustment amount in addition to your plan premium.
If your yearly income in 2014 was:
File individual File joint File married & separate You pay
tax return tax return tax return (in 2016)
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$85,000 or less $170,000 or less $85,000 or less your plan premium
above $85,000 above $170,000 N/A $12.70 +
up to $107,000 up to $214,000 your plan premium
above $107,000 above $214,000 N/A $32.80 +
up to $160,000 up to $320,000 your plan premium
above $160,000 above $320,000 above $85,000 $52.80 +
up to $214,000 up to $428,000 up to $129,000 your plan premium
above $214,000 above $428,000 above $129,000 $72.90 +
your plan premium
2016 Part D National Base Beneficiary Premium—$34.10
This figure is used to estimate the Part D late enrollment penalty and the income-related monthly adjustment amounts listed in the table above. The national base beneficiary premium amount can change each year. See your Medicare & You handbook or visit Medicare.gov for more information.
For more information about Medicare costs, visit Medicare.gov.
Authored by CMS
CENTERS FOR MEDICARE & MEDICAID SERVICES
CMS Product No. 11579
Revised December 2015