According to the Centers for Medicare & Medicaid Services (CMS), most people with Medicare who receive Social Security benefits will pay the standard monthly Part B premium of $135.50 in 2019. However, if your premiums are deducted from your Social Security benefits, and the increase in your benefit payments for 2019 will not be enough to cover the Medicare Part B increase, then you may pay less than the standard Part B premium.
Noteably, people with higher incomes may pay more than the standard premium. If your modified adjusted gross income as reported on your federal income tax return from two years ago is above a certain amount, you’ll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA), which is an extra charge added to your premium, as shown in the following table.
| You filed an individual income tax return for 2017 with income that was: | You filed a joint income tax return for 2017 with income that was: | You filed an income tax return for 2017 as married filing separately with income that was: | Monthly premium in 2019 including any IRMAA is: |
| $85,000 or less | $170,000 or less | $85,000 or less | $135.50 |
| Above $85,000 up to $107,000 | Above $170,000 up to $214,000 | N/A | $189.60 |
| Above $107,000 up to $133,500 | Above $214,000 up to $267,000 | N/A | $270.90 |
| Above $133,500 up to $160,000 | Above $267,000 up to $320,000 | N/A | $352.20 |
| Above $160,000 and less than $500,000 | Above $320,000 and less than $750,000 | Above $85,000 and less than $415,000 | $433.40 |
| $500,000 and above | $750,000 and above | $415,000 and above | $460.50 |
Other Medicare Costs
Other Medicare Part A and Part B costs in 2019 include the following:
- Annual Part B deductible for Original Medicare is $185.
- Monthly Part A premium for those who need to buy coverage will cost up to $437. However, most people don’t pay a premium for Part A.
- The Part A deductible for inpatient hospitalization is $1,364 per benefit period. An additional daily coinsurance amount of $341 will apply for days 61 through 90, and $682 for stays beyond 90 days.
- Beneficiaries in skilled nursing facilities will pay a daily coinsurance amount of $170.50 for days 21 through 100 in a benefit period.
For more information on costs and benefits related to Social Security and Medicare, visit ssa.gov and medicare.gov.
