Dear Marla, 

Medicare costs change from year to year, so I’m glad that you asked! Below, you’ll find an overview of the Medicare costs you can expect once you sign up in 2025: 

Part A (Hospital insurance) 

• Part A premium:  
  • Free if you’ve worked 10 years or more 
  • $285 per month if you’ve worked 7.5 to 10 years 
  • $518 per month if you’ve worked fewer than 7.5 years 
• Part A hospital deductible:  
  • $1,676 each benefit period 
• Part A hospital coinsurance: 
  • $0 for the first 60 days of inpatient care each benefit period 
  • $419 per day for days 61-90 each benefit period 
  • $838 per lifetime reserve day after day 90 in a benefit period 
    • (You have 60 lifetime reserve days that can only be used once. They’re not renewable.) 
• Skilled nursing facility (SNF) insurance: 
  • $0 for the first 20 days of inpatient care each benefit period 
  • $209.50 per day for days 21-100 each benefit period 

Part B (Medical insurance) 

• Part B premium: $185 
  • If your annual income is higher than $106,000 for an individual ($212,000 for a couple), you will pay a higher Part B premium 
• Part B deductible: $257 per year 
• Part B coinsurance: 20% for most services Part B covers 

Part D (Prescription drug coverage) 

• National average Part D premium: $36.78 per month 
• Part D maximum deductible: $590 per year 
• Out-of-pocket limit: $2,000 

Keep in mind that if you choose to buy a Medigap policy or enroll in a Medicare Advantage Plan, your costs will look a bit different. If you enroll in a Medigap, you will pay a monthly premium for your Medigap policy, which in turn pays part or all of your out-of-pocket costs for Medicare-covered services. Medigap premiums vary throughout the country, but in general, they range from $100 to $300 per month.  

If you choose to enroll in a Medicare Advantage Plan for 2025, you’ll typically still have to pay the Part B monthly premium. Some Medicare Advantage Plans may also charge an additional monthly premium. If the Medicare Advantage Plan includes Part D (most do), the premium for the Part D coverage will be combined with the premium for the Medicare Advantage portion of the plan. Before you sign up for a Medicare Advantage Plan, you will want to review the plan’s costs, covered services, and rules by contacting the plan directly. Each year in September, you should get an Evidence of Coverage (EOC) notice explaining any changes for the upcoming year. Review this notice to understand what changes to expect in 2026. 

I hope this is helpful! 

-Marci