At age 65, you will have the option of enrolling in Medicare. While some parts of Medicare are free, you will pay a premium for Part B and D. Following is an overview of what Medicare may cost you. Note these are the national average premiums for Medicare, as rates do vary per state and carrier, and depending the type of Medicare coverage you have. We encourage you to call our office for a more accurate picture of your total costs and to help you pick the right Medicare option for your unique healthcare needs.
National Average Premiums for Medicare
2025 Medicare Costs Part A
Part A Monthly Premium
Most people do not pay a monthly Part A premium because they or a spouse has 40 or more quarters of Medicare-covered employment.
- $518/month for those with fewer than 30 quarters of Medicare-covered employment
- $285/month for those with 30-39 quarters of Medicare-covered employment
Beneficiary Pays for Skilled Nursing Facility Stay
- $0 for the first 20 days of each benefit period
- $209.50 per day for days 21–100 of each benefit period
- All costs for each day after day 100 of the benefit period
Beneficiary Pays for Hospital Stay
- $1,676 deductible per benefit period
- $0 for the first 60 days of each benefit period
- $419 per day for days 61–90 of each benefit period
- $838 per “lifetime reserve day” after day 90 of each benefit period (up to a maximum of 60 days over your lifetime)
2025 Medicare Costs Part B
Part B Monthly Premium
Most people pay the standard Part B premium amount which is $185.00 in 2025
- If your income was more than $106,000 ($212,001 filing joint) you’ll pay $259.00
- If your income was more than $133,000 ($266,001 filing joint) you’ll pay $370.00
- If your income was more than $167,001 ($334,001 filing joint) you’ll pay $480.90
- If your income was more than $200,001 ($400,001 filing joint) you’ll pay $591.90
- If your income was more than $500,000 ($750,000 filing joint) you’ll pay $628.90
Beneficiary Pays for Part B Services
- $257.00 deductible per benefit period
- After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you’re a hospital inpatient), outpatient therapy, outpatient mental health services, certain home health services, and durable medical equipment
2025 Medicare Advantage Plans
Medicare Advantage plans combine Part A and B into one plan and are offered by Medicare-approved health insurance companies as an alternative option to your Original Medicare coverage. Premiums and out-of-pocket costs may vary depending on your plan, however some premiums can be as low as $0, in addition to your monthly Medicare Part B premium (see above). To ensure you find a plan that fits your specific healthcare needs and budget, please contact our licensed Medicare agent for professional assistance.
2025 Medicare Part D Plans (Prescriptions)
Monthly Premiums
Most drug plans charge a monthly fee that varies by plan. You pay this in addition to the Part B premium. If you’re in a Medicare Advantage Plan (Part C) or Medicare Cost Plan with drug coverage, the monthly premium may include an amount for drug coverage.
-If your income was more than $106,000 ($212,000 filing joint) you’ll pay $13.70 + your plan premium
-If your income was more than $133,000 ($266,000 filing joint) you’ll pay $35.30 + your plan premium
-If your income was more than $167,000 ($334,000 filing joint) you’ll pay $57.00 + your plan premium
-If your income was more than $200,000 ($400,000 filing joint) you’ll pay $78.60 + your plan premium
-If your income was more than $500,000 ($750,000 filing joint) you’ll pay $85.80 + your plan premium
Deductibles vary between Medicare drug plans. Some Medicare drug plans don’t have a deductible.
- No Medicare drug plan may have a deductible more than $590 in 2025.
Copayments & Out-of-Pocket Threshold
New in 2025, since they have eliminated the Donut Hole in 2025, once your deductible is met, you’ll pay a coinsurance (copay) for prescription drugs.
-Initial coverage limit is $2,000. Once you reach this amount, you’ll automatically get catastrophic coverage and won’t have to pay out-of-pocket for covered Part D drugs for the rest of the year.
Catastrophic Coverage
Once you reach your threshold ($2,000), you won’t have to pay out-of-pocket for covered Part D drugs for the rest of the year.
Insulin Costs
In 2025, Medicare Part D will limit insulin copayments to $35 per month for covered prescriptions:
• This applies to insulin received through durable medical equipment, such as insulin pumps, through Medicare Part B
• There is no deductible
• The $35 limit applies even if you get Extra Help to lower your prescription drug costs
• A 3-month supply of insulin costs no more than $105
Vaccine Costs
Starting in 2023, vaccines covered under Medicare Part D will be free. This means you pay no deductible, coinsurance or copay for vaccines — even the shingles vaccine — as well as RSV, Tetanus, Whooping Cough, Flu and Covid 19 — all covered by Medicare Part D.
MEDICARE DISCLAIMERS: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all your options.
The above premiums represent national averages. Plan premiums can and do vary by state and by carrier.
The above information on Medicare costs was retrieved from Medicare.gov.
Pathway Health Insurance Experts, nor it’s agents, are not part of the Federal Government Medicare System. The content on this page has not been reviewed or approved by Medicare.
