Current Premium For Medicare Part B

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November 22, 2024

Current Premium For Medicare Part B

On November 8, 2024, the Centers for Medicare & Medicaid Services (CMS) announced the current premium for medicare part b, deductible, and coinsurance amounts for Medicare Part A and Part B for 2025, along with the income-related monthly adjustment amounts for Medicare Part D, that is IRMAA 2026.

The standard premium for Medicare Part B 2025 will be $185.00, reflecting an increase of $10.30 from the 2024 rate of $174.70. However, some Medicare beneficiaries may pay less than this amount due to a legal provision that limits Part B premium increases for current enrollees to the annual cost-of-living adjustment for Social Security (or Railroad Retirement Tier I) benefits. The annual deductible for all 2025 medicare part b premium enrollees will rise to $257, an increase of $17 compared to the $240 deductible in 2024.

 

Beneficiaries with higher incomes will continue to pay elevated premiums, as determined by their modified adjusted gross income (MAGI). For 2025, these income-adjusted monthly premiums will range from $259.00 to $628.90. The highest premium applies to those with MAGI exceeding $500,000 for individuals or $750,000 for couples filing jointly. About 8% of Medicare beneficiaries are expected to pay these income-related premiums.

 

Medicare Part D prescription drug coverage premiums vary by plan. However, beneficiaries with higher MAGI will also pay an additional monthly adjustment amount for Part D, ranging from $13.70 to $85.80 in 2025. These adjustments apply to beneficiaries whose income surpasses the same thresholds used for Part B premium adjustments.

 

The Railroad Retirement Board deducts 2025 medicare part b premium, as well as the income-related adjustments for Parts B and D, directly from benefit payments it administers. Additionally, beneficiaries can request their insurance provider to withhold premiums for Part C and Part D plans.

 

The income-related adjustments for Medicare premiums are calculated by the Social Security Administration (SSA) using the most recent tax data available from the IRS. Typically, SSA will reference 2023 tax return information for the 2025 determinations. If 2023 data is unavailable, information from the 2022 tax return will be used.

 

This information highlights the key updates for Medicare beneficiaries in 2025, ensuring they understand the premium and adjustment changes based on their income levels.

current Premium for Medicare Part b

Beneficiaries Who File an Individual Tax Return with Income Beneficiaries Who File a Joint Tax Return with Income Income-Related Monthly Adjustment Amount Total Monthly Part B Premium Amount
Less than or equal to $106,000 Less than or equal to $212,000 $0.00 $185.00
Greater than $106,000 and less than or equal to $133,000 Greater than $212,000 and less than or equal to $266,000 $74.00 $259.00
Greater than $133,000 and less than or equal to $167,000 Greater than $266,000 and less than or equal to $334,000 $185.00 $370.00
Greater than $167,000 and less than or equal to $200,000 Greater than $334,000 and less than or equal to $400,000 $295.90 $480.90
Greater than $200,000 and less than $500,000 Greater than $400,000 and less than $750,000 $406.90 $591.90
$500,000 and above $750,000 and above $443.90 $628.90

The monthly medicare part b premium 2025 rates paid by beneficiaries who are married, but file a separate return from their spouses and who lived with their spouses at some time during the taxable year, are different. Those rates are as follows:

Beneficiaries Who Are Married but File a Separate Tax Return with Income Income-Related Monthly Adjustment Amount Total Monthly Part B Premium Amount
Less than or equal to $106,000 $0.00 $185.00
Greater than $106,000 and less than $394,000 $406.90 $591.90
$394,000 and above $443.90 $628.90

The 2025 medicare part b premium for high-income beneficiaries who only have immunosuppressive drug coverage are shown in the following table:
 

Beneficiaries Who File Individual Tax Returns with Modified Adjusted Gross Income Beneficiaries Who File Joint Tax Returns with Modified Adjusted Gross Income Income-Related Monthly Adjustment Amount Total Monthly Premium Amount
Less than or equal to $106,000 Less than or equal to $212,000 $0.00 $110.40
Greater than $106,000 and less than or equal to $133,000 Greater than $212,000 and less than or equal to $266,000 $73.60 $184.00
Greater than $133,000 and less than or equal to $167,000 Greater than $266,000 and less than or equal to $334,000 $184.10 $294.50
Greater than $167,000 and less than or equal to $200,000 Greater than $334,000 and less than or equal to $400,000 $294.50 $404.90
Greater than $200,000 and less than $500,000 Greater than $400,000 and less than $750,000 $404.90 $515.30
Greater than or equal to $500,000 Greater than or equal to $750,000 $441.70 $552.10

Premiums for high-income beneficiaries with full Part B coverage who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows:

Beneficiaries Who Are Married and Lived with Their Spouses at Any Time During the Year but File Separate Tax Returns with Modified Adjusted Gross Income Income-Related Monthly Adjustment Amount Total Monthly Premium Amount
Less than or equal to $106,000 $0.00 $185.00
Greater than $106,000 and less than $394,000 $406.90 $591.90
Greater than or equal to $394,000 $443.90 $628.90

Premiums for high-income beneficiaries with immunosuppressive drug only Part B coverage who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows:

Beneficiaries Who Are Married and Lived with Their Spouses at Any Time During the Year but File Separate Tax Returns with Modified Adjusted Gross Income Income-Related Monthly Adjustment Amount Total Monthly Premium Amount
Less than or equal to $106,000 $0.00 $110.40
Greater than $106,000 and less than $394,000 $404.90 $515.30
Greater than or equal to $394,000 $441.70 $552.10

Medicare Part A: Hospital Insurance

Most individuals do not pay a monthly premium for Medicare Part A because they or their spouse have worked and paid Medicare taxes for at least 10 years.

If you do not meet the requirements for premium-free Part A, you may have the option to purchase it. In 2025, the monthly premium for Part A is either $285 or $518, depending on how long you or your spouse contributed to Medicare taxes. It’s important to note that enrolling in Part B is a requirement if you wish to buy Part A.

Part A Deductible and Coinsurance:

  • Inpatient Hospital Deductible: $1,676 for the first 60 days of a hospital stay during a benefit period.
  • Inpatient Hospital Coinsurance: After meeting the deductible, $419 per day for hospital stays between days 61–90 in a benefit period.
  • Lifetime Reserve Days: For hospital stays exceeding 90 days, the daily coinsurance is $838 per day.
  • These expenses outline what beneficiaries might pay for inpatient hospital services under Medicare Part A in 2025.

Also read - VA Disability Pay Raise 2025​

What is the New Medicare Rule for 2025?

One notable update to Medicare in 2025 is the expanded availability of telehealth services. This enhancement allows more beneficiaries to access healthcare through virtual visits, offering greater convenience, particularly for individuals in rural areas or those with mobility challenges.

Another important change involves updates to the Medicare Physician Fee Schedule, which determines the reimbursement rates for doctors and healthcare providers serving Medicare beneficiaries. These adjustments may influence the availability and accessibility of specific services.

Why is Social Security no Longer Paying Medicare Part B?

Social Security continues to cover Medicare Part B premiums for eligible beneficiaries. There have been no changes to this process.

If you’re facing issues with your Medicare Part B payments, it’s best to reach out to the Social Security Administration. They can review your specific case and help resolve any problems you may be experiencing.

Here are a few possible reasons why you might be encountering issues with your Medicare Part B payments:

  • Changes in Your Circumstances: Recent changes in your income or other factors may have impacted your Medicare Part B premium payments.
  • Technical Issues: Occasionally, delays or disruptions in payment processing can occur due to technical problems.
  • Incorrect Information: Ensure the Social Security Administration has accurate and up-to-date contact and financial information for you.
  • If you suspect any of these issues, contacting the Social Security Administration promptly can help resolve the matter.

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