Terry Turner, writer and researcher for RetireGuide
  • Written by
    Terry Turner

    Terry Turner

    Senior Financial Writer and Financial Wellness Facilitator

    Terry Turner has more than 30 years of journalism experience, including covering benefits, spending and congressional action on federal programs such as Social Security and Medicare. He is a Certified Financial Wellness Facilitator through the National Wellness Institute and the Foundation for Financial Wellness and a member of the Association for Financial Counseling & Planning Education (AFCPE®).

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  • Edited By
    Matt Mauney
    Matt Mauney, Senior Editor for RetireGuide

    Matt Mauney

    Financial Editor

    Matt Mauney is an award-winning journalist, editor, writer and content strategist with more than 15 years of professional experience working for nationally recognized newspapers and digital brands. He has contributed content for ChicagoTribune.com, LATimes.com, The Hill and the American Cancer Society, and he was part of the Orlando Sentinel digital staff that was named a Pulitzer Prize finalist in 2017.

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  • Published: May 11, 2020
  • Updated: January 25, 2023
  • 10 min read time
  • This page features 10 Cited Research Articles
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How to Cite RetireGuide.com's Article

APA Turner, T. (2023, January 25). Medicare Deductibles. RetireGuide.com. Retrieved February 2, 2023, from https://www.retireguide.com/medicare/costs-and-coverage/deductibles/

MLA Turner, Terry. "Medicare Deductibles." RetireGuide.com, 25 Jan 2023, https://www.retireguide.com/medicare/costs-and-coverage/deductibles/.

Chicago Turner, Terry. "Medicare Deductibles." RetireGuide.com. Last modified January 25, 2023. https://www.retireguide.com/medicare/costs-and-coverage/deductibles/.

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RetireGuide’s mission is to provide seniors with resources that will help them reach important financial decisions that affect their retirement. Our goal is to arm our readers with knowledge that will lead to a healthy and financially sound retirement.

We’re dedicated to providing thoroughly researched Medicare information that guides you toward making the best possible health decisions for you and your family.

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Key Takeaways
  • Medicare deductibles are reset each year and the dollar amount may be subject to change.
  • Both Medicare Parts A and B have deductibles that must be met before Medicare starts paying.
  • Medicare Advantage, Medigap and Part D plans are all sold by private insurance companies that set their own deductibles.

Deductibles for Original Medicare

Medicare premiums, deductibles and coinsurance rates for Original Medicare are adjusted each year. Original Medicare includes Medicare Part A hospital insurance and Part B medical insurance. Each has different deductibles.

You can find out if you’ve met your Medicare Part A or Part B deductible for the year at MyMedicare.gov.

Definition of a deductible

Medicare Part A Deductible in 2023

Medicare Part A covers certain hospitalization costs, including inpatient care in a hospital, skilled nursing facility care, hospice and home health care. It does not cover long-term custodial care.

For 2023, the Medicare Part A deductible is $1,600 for each benefit period. If you re-enter the hospital or skilled nursing facility any time after your benefit period ends, you will have to pay the first $1,600 again as a new deductible.

What Is a Benefit Period?
This is how Medicare measures your use of inpatient hospital care or services in a skilled nursing facility. The benefit period begins the day you enter the hospital or facility and ends after you have not needed inpatient care for 60 days in a row.

Medicare Part B Deductible in 2023

For 2023, your Medicare Part B deductible is $226. That’s a $7 decrease from 2022.

Unlike Medicare Part A, there is no benefit period tied to Medicare Part B.

After meeting the deductible, you’ll usually have to pay 20% of the Medicare-approved costs for most doctor services, outpatient care and durable medical equipment — things such as wheelchairs or walkers your doctor may order for you.

Learn more about how to determine when you've met your Medicare deductible from Bob Glaze, a licensed insurance agent.

Deductibles for Drug Coverage and Medicare Advantage in 2023

Deductibles for Medicare Part C, also known as Medicare Advantage plans, and Medicare Part D prescription drug coverage varies based on the plan you purchase. Both Medicare Advantage and Part D plans are sold by private insurers that have contracts with the Medicare program.

Medicare Advantage plans may offer coverage that absorb some of your out-of-pocket costs. Though Medicare Advantage deductibles may vary, all plans must set a limit on your maximum out-of-pocket (MOOP) expenses. This is a total spread across your deductibles, coinsurance and copayments.

For 2023, the MOOP for Medicare Advantage plans is $8,300 for in-network care. It can be higher for out-of-network care or services. But once you hit your MOOP for the year, the plan has to cover 100% of all further costs.

Some Medicare Part D prescription drug plans don’t have a deductible. Those that do may not have a deductible of more than $505 in 2023.

Did you know?
Starting in 2023, your out-of-pocket cap on perscription drugs will be $2,000 per year. In 2024, beneficiaries will no longer have out-of-pocket costs when they enter the catastrophic coverage period.
Don't Leave Your Health to Chance
Find a local Medicare plan that fits your needs by connecting with a licensed GoHealth insurance agent.

Using Medigap to Pay Medicare Deductibles

Medigap, also known as Medicare Supplement plans, can help pay some of your out-of-pocket costs, including your Medicare Part A deductibles.

These plans are sold through private insurers. There are eight standardized plans across 47 states and the District of Columbia. There are different standardized plans for Minnesota, Massachusetts and Wisconsin.

Each plan has a letter for a name. Some of these plans may cover all or a portion of your Part A deductible.

Medigap Plan Coverage of Part A Deductibles

Medigap Plans C and F were the only two to cover the deductible for Medicare Part B. However, Plans C and F are available only to people who became eligible for Medicare before Jan. 1, 2020.


Frequently Asked Questions About Medicare Deductibles

Does Medicare have a deductible?
Yes, you have to pay a deductible if you have Medicare. You will have separate deductibles to meet for Part A, which covers hospital stays, and Part B, which covers outpatient care and treatments.
What is the Medicare deductible for 2023?
The Part A deductible for 2023 is $1,600 for each benefit period. The Part B deductible is $226. You will usually then pay 20% of the cost for anything covered by Part B after you have met your deductible.
How do Medicare deductibles work?
A deductible is the amount of money that you have to pay out-of-pocket before Medicare begins paying for your health costs. For example, if you received outpatient care or services covered by Part B, you would then pay the first $226 to meet your deductible before Medicare would begin covering the remaining cost.

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Last Modified: January 25, 2023

10 Cited Research Articles

  1. U.S. Centers for Medicare & Medicaid Services. (2022, September 27). 2023 Medicare Parts A and B Premiums and Deductibles 2023 Medicare Part D Income-Related Monthly Adjustment Amounts. Retrieved from https://www.cms.gov/newsroom/fact-sheets/2023-medicare-parts-b-premiums-and-deductibles-2023-medicare-part-d-income-related-monthly
  2. Bunis, D. (2022, August 15). Big Changes Coming to Medicare Part D Plans. Retrieved from https://www.aarp.org/politics-society/advocacy/info-2022/medicare-part-d-changes.html)./
  3. U.S. Centers for Medicare & Medicaid Services. (2022). Yearly Deductible for Drug Plans. Retrieved from https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/yearly-deductible-for-drug-plans
  4. Tyko, K. (2019, November 9). Medicare Part B Premium 2020: Rates and Deductibles Rising 7% for Outpatient Care. Retrieved from https://www.usatoday.com/story/money/2019/11/09/medicare-part-b-2020-deductibles-premiums-increasing/2541901001/
  5. U.S. Centers for Medicare & Medicaid Services. (2019, November 22). Chapter 3 - Deductibles, Coinsurance Amounts, and Payment Limitations. Retrieved from https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/ge101c03.pdf
  6. U.S. Centers for Medicare & Medicaid Services. (2019, November 8). 2020 Medicare Parts A & B Premiums and Deductibles. Retrieved from https://www.cms.gov/newsroom/fact-sheets/2020-medicare-parts-b-premiums-and-deductibles
  7. Livingston, S. (2019, November 8). Drug Spending Drives Higher 2020 Medicare Part B Premiums, Deductibles. Retrieved from https://www.modernhealthcare.com/medicare/drug-spending-drives-higher-2020-medicare-part-b-premiums-deductibles
  8. U.S. Centers for Medicare & Medicaid Services. (n.d.). Medicare Costs at a Glance. Retrieved from https://www.medicare.gov/your-medicare-costs/medicare-costs-at-a-glance
  9. U.S. Centers for Medicare & Medicaid Services. (n.d.). How to compare Medigap policies. Retrieved from https://www.medicare.gov/supplements-other-insurance/how-to-compare-medigap-policies
  10. Humana. (n.d.). Deductibles for Medicare Part A and Part B. Retrieved from https://www.humana.com/medicare/part-a-b-deductibles-review