How much you have to pay for your Medicare coverage each month depends on your work history. Most people with Medicare get their hospital insurance (Part A) premium free. If you do not have enough work history (you have not paid enough quarters of Medicare taxes), you will have to pay a monthly premium for Part A. Everyone has to pay a monthly premium for their medical insurance (Part B). Costs generally go up every year.
For Part A, each month (in 2018) you will pay:
- Nothing if you or your spouse worked and paid Medicare taxes for 10 years or more in the U.S.
- $232 if you or your spouse worked and paid Medicare taxes between 7.5 and 10 years in the U.S.
- $422 if you or your spouse worked and paid Medicare taxes for fewer than 7.5 years in the U.S.
For Part B, each month (in 2018) you will pay:
- A $134 premium each month if your annual income is below $85,000 ($170,000 for couples).
People with high incomes have a higher Part B premium.
How much you will pay for services each month depends on which services you receive and whether you go to a doctor who accepts the Medicare-approved amount as payment in full (accepts assignment).