Compare 2023 Medicare costs such as deductibles, copayments, coinsurance and other costs. Learn how you may be able to get help covering your Medicare costs.
There are 4 primary parts of Medicare, which include some private Medicare policy options. Another type of private Medicare policy is Medicare Supplement Insurance (also called Medigap).
In this guide, we detail the 2023 Medicare costs for each of the following types of Medicare coverage:
Medicare Part A is known as hospital insurance and helps cover:
Hospital care
Hospice
Limited home health services
Skilled nursing facility care
Part A premiums
Most people do not pay a premium for Medicare Part A, as long as they or or their spouse paid sufficient Medicare taxes while working.
If you paid Medicare taxes for at least 40 quarters (10 years), you do not have to pay a premium for Part A.
If you paid Medicare taxes for between 30 and 39 quarters, you will pay a premium of $278 per month in 2023 for Part A coverage.
If you paid Medicare taxes for fewer than 30 quarters, your monthly Part A premium will be $506 in 2023.
Part A deductible
Your Part A deductible is the amount you must pay in hospital costs before Medicare begins paying its share.
In 2023, the Part A deductible is $1,600per benefit period.
Medicare Part A benefit periods are based on how long you’ve been discharged from the hospital:
A benefit period begins on the day you're admitted for inpatient care at a hospital, skilled nursing facility or other Medicare-approved facility.
Your benefit period resets when you’ve been out of the hospital for 60 days.
If you return to the hospital for another visit after 60 days has past, you would have to pay the Part A deductible again because your benefit period reset.
Part A coinsurance for hospital stays
After you meet your Part A deductible in a benefit period, you will be responsible for daily coinsurance payments for as long as you remain hospitalized:
For your first 60 days that you are in the hospital, you pay nothing additional out of pocket for your hospital costs after meeting your $1,600 deductible.
For days 61-90 in a hospital during a single benefit period, you pay a $400 coinsurance in 2023 for each day you are hospitalized.
If you are in the hospital for more than 90 days during a single benefit period, you pay a $800 coinsurance in 2023 for each day you are hospitalized, for up to 60 lifetime reserve days.
Part A coinsurance for skilled nursing facility care
Medicare Part A covers skilled nursing care provided in a skilled nursing facility under certain circumstances. The 2023 Part A coinsurance amounts are as follows:
Days 1-20: $0 coinsurance per benefit period
Days 21-100: $200.00 coinsurance per day of each benefit period
Days 101 and beyond: You are responsible for all costs
Medicare Part B costs in 2023
Medicare Part B is known as medical insurance and helps cover preventive services and medically necessary services that include (but aren't limited to):
In 2023, the standard Medicare Part B premium is $164.90 per month.
Most people pay the standard premium amount, but your Part B premium could be higher depending on your income. Some people who get Social Security benefits may pay less.
In 2023, individuals with reported 2021 incomes of more than $97,000 and married couples with reported 2021 incomes of greater than $194,000 have to pay more for their Part B coverage.
This increased amount is called the Medicare IRMAA, or the Income-Related Monthly Adjustment Amount.
The chart below shows what you will pay for your Part B premium in 2023 based on your modified adjusted gross income from two years prior (2021).
2023 Medicare Part B IRMAA
2021 Individual tax return
2021 Joint tax return
2021 Married and separate tax return
2023 Part B premium
$97,000 or less
$194,000 or less
$97,000 or less
$164.90
More than $97,000 and up to $123,000
More than $194,000 and up to $246,000
N/A
$230.80
More than $123,000 up to $153,000
More than $246,000 up to $306,000
N/A
$329.70
More than $153,000 up to $183,000
More than $306,000 up to $366,000
N/A
$428.60
More than $183,000 up to $500,000
More than $366,000 up to $750,000
More than $97,000 up to $403,000
$527.50
More than or equal to $500,000
More than or equal to $750,000
More than or equal to $403,000
$560.50
Part B deductible
Your Part B deductible is the amount you must pay in medical costs before Medicare begins paying its share.
In 2023, the Part B deductible is $226 per year.
Part B coinsurance/copayment
After you meet your Part B deductible, you typically pay 20 percent of the Medicare-approved amount for most doctor’s services.
Part B excess charges
Doctors who do not accept Medicare assignment can charge more than the Medicare-approved amount for a service or procedure. The difference between the amount a doctor charges and the Medicare-approved amount is known as an excess charge.
The Part B excess charge can be as much as 15 percent more than the Medicare-approved amount.
2023 Medicare Advantage (Part C) costs
Medicare Advantage (Medicare Part C) is an alternative to Original Medicare that provides the same benefits as Medicare Part A and Part B.
Many Medicare Advantage plans may cover prescription drugs.
Some Medicare Advantage plans also offer coverage for vision, dental and hearing, as well as health and wellness programs such as SilverSneakers to help keep enrollees active and healthy.
Some Medicare Advantage plans may offer additional benefits such as transportation to doctor's appointments, grab bars in home bathrooms and healthy meals delivered to your home.
Original Medicare does not cover vision, dental or hearing services that are not considered medically necessary. This includes routine and preventive care.
If you’re enrolled in Original Medicare, you are responsible for 100 percent of the costs related to these services.
If your Medicare Advantage plan includes coverage for prescription drugs, you typically pay a coinsurance or copayment for covered drugs. With Original Medicare, you could pay 100 percent of the costs of many prescription drugs.
Specific prescription drug costs will vary depending on the Medicare Advantage plan you enroll in.
Because Medicare Advantage plans are sold by private insurance companies, there is no standard premium like there is with Original Medicare. Premiums may vary according to plan, insurance carrier and location.
In 2023, the average monthly premium for a Medicare Advantage plan is $17.60 per month.1
Depending on where you live, there may be Medicare Advantage plans available that feature $0 premiums, though such plans aren't available in all locations. Beneficiaries are still required to pay their monthly Part B premium.
Medicare Advantage out-of-pocket maximum
Medicare Advantage have an out-of-pocket maximum, which limits how much you could pay out of pocket for care in a given year. Original Medicare does not have an out-of-pocket maximum.
2023 Medicare Advantage deductibles
Deductibles for Medicare Advantage plans can vary.
In 2023, the average medical deductible for a Medicare Advantage plan with prescription drug coverage is around $25.44 per year. This low number is partly due to a number of plans that feature $0 deductibles.1
2023 Medicare Part D costs
Original Medicare does not generally cover prescription drugs, with the exception of limited outpatient prescription drugs.
If you want Medicare prescription drug coverage, you can enroll in a Medicare Advantage plan that includes drug coverage, or you can enroll in a stand-alone Part D (Medicare Prescription Drug Plan) plan.
Compare Part D plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.
Part D premiums
If you enroll in a Medicare Part D plan, you typically pay a monthly premium for your Part D coverage in addition to your Medicare Part B and Medicare Advantage premiums (if applicable).
Part D premiums will differ from one plan, carrier or location to another.
The average premium for a Part D plan in 2023 is about $43 per month.2
Some Part D plans may feature $0 deductibles.
As with Medicare Part B, some people who earn a higher income may pay a higher premium for their Part D plan. This increased amount is called the Income-Related Monthly Adjustment Amount (IRMA).
The table below shows what you can expect to pay for your 2023 Part D premiums based on your reported income in 2021.
2023 Medicare Part D IRMAA
2021 Individual tax return
2021 Joint tax return
2021 Married and separate tax return
2023 Part D premium
$97,000 or less
$194,000 or less
$97,000 or less
Your plan premium
More than $97,000 and up to $123,000
More than $194,000 and up to $246,000
N/A
$12.40 plus your plan premium
More than $123,000 up to $153,000
More than $246,000 up to $306,000
N/A
$32.10 plus your plan premium
More than $153,000 up to $183,000
More than $306,000 up to $366,000
N/A
$51.70 plus your plan premium
More than $183,000 up to $500,000
More than $366,000 up to $750,000
More than $97,000 up to $403,000
$71.30 plus your plan premium
More than or equal to $500,000
More than or equal to $750,000
More than or equal to $403,000
$77.90 plus your plan premium
Part D deductibles
Part D deductibles may vary from one plan to the next.
70% of Part D plans use the standard annual Part D plan deductible in 2023, which is $505.2 Some Part D plans may offer $0 deductibles for certain drugs.
Part D coinsurance/copayments
Medicare Part D plans include a drug formulary, which is a list of what drugs the plan may cover.
Medicare plan formularies are divided into tiers. Formulary tiers correspond to how much you might pay in coinsurance or copayments for specific drugs (after you meet your Part D deductible):
Low-cost, generic drugs are typically on lower tiers.
More expensive and brand name drugs are typically on higher tiers.
Part D donut hole
Medicare Part D plans have a coverage gap, or “donut hole,” which is a temporary limit on how much a Prescription Drug Plan will pay for prescription drug costs.
Here’s how the Part D donut hole works:
Part D plans have an Initial Coverage Limit ($4,660 in 2023), which is the total amount you and your plan can spend on prescription drugs before entering your plan’s coverage gap.
Once you enter the "donut hole" coverage gap, you pay 25 percent of the cost for your covered name brand drugs and generic prescription drugs.
Once you spend $7,400 on prescription drugs in 2023, you will leave the coverage gap and enter catastrophic coverage.
The costs you pay for drugs while in the coverage gap typically contribute to your $7,400 out of pocket total to help get you out of the coverage gap.
With catastrophic coverage, you pay a smaller copayment or coinsurance than you did during the initial coverage phase or while you were in the coverage gap.
Catastrophic coverage remains in effect until the end of the year.
Medicare Supplement Insurance, or Medigap, helps cover some of the out-of-pocket costs that Medicare Part A and Part B don't cover, such as deductibles, coinsurance and copayments.
There are 10 different types of standardized Medigap plans available in most states. The types of costs that different types of Medigap plans are illustrated in the Medigap plans comparison chart below.
* Plan F and Plan C are not available to Medicare beneficiaries who became eligible for Medicare on or after January 1, 2020. If you became eligible for Medicare before 2020,... you may still be able to enroll in Plan F or Plan C as long as they are available in your area.
1 Plans F and G offer high-deductible plans that each have an annual deductible of $2,700 in 2023. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year. The high-deductible Plan F is not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020.
2 Plan K has an out-of-pocket yearly limit of $6,940 in 2023. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.
3 Plan L has an out-of-pocket yearly limit of $3,470 in 2023. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.
4 Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to $50 copayment for emergency room visits that don’t result in an inpatient admission.+ Read more
Foreign travel emergency costs
Original Medicare does not typically cover healthcare services received outside of the U.S. and its territories. This means that you are generally responsible for 100 percent of your health care costs while traveling abroad.
Listed below are three exceptions to this rule.
You’re in the United States when you have a medical emergency and a foreign hospital is closer than the nearest U.S. hospital.
You live in the United States and a foreign hospital is closer to your home than the nearest U.S. hospital that can treat you for your medical condition.
You’re traveling through Canada “without reasonable delay” by the most direct route between Alaska and another state when a medical emergency occurs and the Canadian hospital is closer than the nearest U.S. hospital.
If you have a Medigap plan that helps cover foreign travel emergency costs, however, you could get help covering some of the costs that Original Medicare would not otherwise typically pay.
Medicare Advantage eligibility and enrollment
Once you’re enrolled in Medicare Part A and Part B, you may be able to enroll in a Medicare Advantage plan.
Speak with a licensed insurance agent to learn more about your options and to compare Medicare Advantage plans in your area.
Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.
Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.
Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.
A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.
If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.
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