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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)

-------------------------------------------------------------------------------------------------------------------------------------

 $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)

-------------------------------------------------------------------------------------------------------------------------------------

$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

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