October 19, 2023

Many people often ask about the cost of Medicare and whether or not they have to pay for it. Another common question is whether Medicare Part B is free or not. Additionally, individuals may want to know what their Medicare premiums will be in 2024. It's important to note that Medicare does come with costs, and most people do have to pay Medicare premiums. However, it is possible to estimate these costs and plan accordingly.

2024 Medicare Costs at a Glance

Part A Premium (monthly)

Premium-free with qualifying work history: $505 each month without

Part A Deductible and Co-insurance

You pay:

$1,632 deductible for each benefit period:

Days 1-60:

$0 co-insurance for each benefit period

Days 61-90:

$408 co-insurance per day of each benefit period:

Days 91 and beyond:

$816 co-insurance each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)

Beyond lifetime reserve days: All costs

Part B Premium (monthly)

The standard Part B premium amount is $174.70

Part B deductible and Co-insurance

$240 per year and then 20% of the Medicare-approved amount

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Medicare cost for Part A in 2024

Medicare Part A cost in 2024 varies depending on factors such as work history and residency status. Most people qualify for free Part A if they have worked 10+ years in the U.S. If you need to buy Part A, the cost is around $505/month. Those with 30-40 quarters can get a pro-rated premium of $278/month. The Part A deductible for 2024 is $1,632, which can be covered by a Medigap plan.

Medicare Cost for Part B in 2024

Medicare Part B premiums in 2024 are based on modified adjusted household gross income (MAGI). The IRS tax return from two years prior is used to calculate the premiums for Parts B and D. Income sources like wages, investments, and pensions contribute to MAGI, while certain distributions like Roth IRAs are excluded. If married, each spouse will have individual premiums based on combined income. Social Security will notify individuals of their premium in December or January. It is possible to appeal higher premiums, with only 5% of beneficiaries currently paying more.

Medicare 2024 Part B Premiums by Income

If your filing status and yearly income in 2022 was:

File Individual Tax Return

File Joint Tax Return

File Married & Separate Tax Return

(In 2024) Each month you pay

$103k or less

$206k or less

$103k or less

$174.70

Above $103k up to $129k

Above $206k up to $258k

N/A

$244.60

Above $129k up to $161k

Above $258k up to $322k

N/A

$349.40

Above $161k up to $193k

Above $322k up to $386k

N/A

$454.20

Above $193k & Less than $500k

Above $486k & Less than $750k

Above $103K & less than $497K

$559.00

$500k or above

$750k and above

$397k and above

$594.00

2024 Medicare Part B IRMAA chart

Stay updated on Medicare income limits as they may change periodically. If you have Medicare due to End-Stage Renal Disease and had a transplant, you might be interested in the new Part B coverage for immunosuppressive drugs.

Medicare Cost for Part D for 2024

Medicare Part D costs for 2024 are based on income and the specific plan chosen. Each state offers a variety of plans, with at least 20 options available. In most states, plans start at around $10 - $15 per month, which is known as the base premium for Part D. However, higher income earners will have to pay more for Part D. When comparing the costs of Medicare Part D to other insurance options, such as employer insurance, it's essential to consider this factor. To determine your specific Medicare Part D costs for 2024, refer to the chart below.

Medicare 2024 Part D Premiums by Income

If your filing status and yearly income in 2022 was:

File Individual Tax Return

File Joint Tax Return

File Married & Separate Tax Return

(In 2024) Each month you pay

$103k or less

$206k or less

$103k or less

Your Plan Premium

Above $103k up to $129k

Above $206k up to $258k

N/A

$12.90 + your plan premium

Above $129k up to $161k

Above $258k up to $322k

N/A

$33.30 + your plan premium

Above $161k up to $193k

Above $322k up to $386k

N/A

$53.80 + your plan premium

Above $193k & Less than $500k

Above $486k & Less than $750k

Above $103K & less than $497K

$74.20 + your plan premium

$500k or above

$750k and above

$397k and above

$81.00 + your plan premium

2024 Part D IRMAA chart

If your earlier tax returns indicated a higher income than what you currently have after retirement, make sure to check out how to appeal a higher premium. For more information on Medicare Part D, visit this page.

How Much will Medicare Cost You in 2024?

If you find the information regarding Medicare costs confusing, don't worry. Medicare premiums tend to increase almost every year. Our professionals can guide you in determining your specific Medicare costs.

Many people discover that Medicare, along with a supplement, is more affordable compared to their previous private insurance.

It is recommended to get estimates of your Medicare costs before retirement, enabling you to plan and save accordingly.

If you need assistance in determining your potential costs or planning for Medicare costs in 2024, call (833) 265-9655 or complete our online request form. A friendly licensed insurance agent from our team will be happy to assist you.

To continue your Medicare education, proceed to: Apply for Medicare.

Get Help

Compare Medicare coverage options with the help of one of our agents:

Talk to us: (833) 265-9655 

Medicare brokers such as Lehigh Partners get paid by the insurance companies they represent. And you pay exactly the same rate for your insurance if you use a Medicare consultant (broker). There is no extra fee or cost for enrolling through a broker. You will never pay a fee for our help.


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