Medicare premiums are monthly fees beneficiaries pay for their Medicare coverage. In 2023, the Medicare Part B standard premium is $164.90 a month. Most people do not pay premiums for Medicare Part A, while premiums for Medicare Part D drug coverage, Medicare Advantage and Medigap plans vary.
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Lindsey Crossmier is an accomplished writer with experience working for The Florida Review and Bookstar PR. As a financial writer, she covers Medicare, life insurance and dental insurance topics for RetireGuide. Research-based data drives her work.Read More
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- Published: May 14, 2020
- Updated: May 8, 2023
- 8 min read time
- This page features 11 Cited Research Articles
- Edited By
- Medicare premiums are the monthly fees you pay for coverage once you enroll in Medicare.
- Most people don’t pay premiums for Medicare Part A hospital insurance, while Medicare Part B medical insurance premiums cost $164.90 in 2023 — or more if you have a higher income.
- Medicare Advantage plan premiums vary widely and are based on your plan, though some charge $0 in monthly premiums.
- Medicare Part D prescription drug premiums can also vary widely depending on your plan.
2023 Premiums for Original Medicare
The 2023 premiums were announced on September 27, 2022. For the first time since 2012, the Part B premium decreased by $5.20 to $164.90. While most don’t pay a Part A premium, the potential costs did raise for 2023.
Original Medicare includes Medicare Part A hospital insurance and Part B medical insurance. The U.S. Centers for Medicare & Medicaid Services adjust the premiums for the following year in the fall.
Medicare Part A Premium in 2023
The Part A premium will cost $0 for most people in 2023. Part A is usually free if you or your spouse have been contributing to the Part A Trust Fund for about 40 quarters, or 10 years of work. The Part A Trust Fund is the FICA deduction from your paycheck.
- Qualify or already have retirement or disability benefits from Social Security or the Railroad Retirement Board
- Get Medicare earlier than age 65
- If you or your former or current spouse paid Medicare taxes while working 10+ years
However, if you didn’t work long enough, you might have to pay a full or reduced Part A premium.
|Individuals with less than 30 quarters of coverage, or individuals with disabilities who have exhausted other entitlements||Full Part A Premium of $506|
|Individuals with at least 30 quarters of coverage (or your current or ex-spouse as 30 quarters of coverage)||Reduced Part A Premium of $278|
If you have concerns paying for the Part A premium, you could look into the Qualified Medicare Beneficiary program (QMB), one of the Medicare Savings Programs. If you qualify, QMB will cover the Part A premium, along with other potential benefits.
Medicare Part B Premium in 2023
The Medicare Part B standard premium lowered in 2023 to $164.90 from $170.10 a month into 2022.
The Part B premium is lowering due to an overestimation of the cost of the Alzheimer’s drug Aduhelm. According to Biogen, the drug’s manufacturer, Aduhelm initially cost $56,000 but ended up being approximately 50% less at $28,200.
People with higher incomes may have to pay a higher Part B premium. Your modified adjusted gross income, marital status and how you file your taxes all influence your Part B premium cost.
For example, if you’re filing an individual tax return and your salary is $100,000 — your Part B premium would be $230.80.
If you’re married, filing a joint tax return and your salaries are over $250,000 — your Part B premium would be $329.70.
|Filed an Individual Tax Return||Filed a Joint Tax Return||Married Filing Separately Tax Return||Medicare Part B Premium for 2023|
|$97,000 or less||$194,000 or less||$97,000 or less||$164.90|
|More than $97,000 up to $123,000||More than $194,000 up to $246,000||N/A||$230.80|
|More than $123,000 up to $153,000||More than $246,000 up to $306,000||N/A||$329.70|
|More than $153,000 up to $183,000||More than $306,000 up to $366,000||N/A||$428.60|
|More than $183,000 but less than $500,000||More than $366,000 but less than $750,000||More than $97,000 but less than $403,000||$527.50|
|$500,000 or above||$750,000 or above||$403,000 and above||$560.50|
If you had a major life changing event in the two years since your last tax return, such as a change in your marital status, losing a job or loss of pension or income-producing property, you can request the Social Security Administration to adjust your premium.
Medicare Advantage Premiums in 2023
The projected average Medicare Advantage premium is $18 for 2023, according to CMS. Your premium price will fluctuate depending on the plan you choose and where you live. For the most part, plans with cheaper premiums may offer far fewer benefits than those with more expensive premiums.
For example, if you live in Florida, the average monthly Medicare premium is $9.41 in 2023. If you live in California, the average monthly premium is $16.42 in 2023. Be sure to compare plans to get the coverage you want or need at a price you can afford.
CMS predicts that Medicare Advantage enrollment will reach 31.8 million in 2023. In addition to Medicare Advantage enrollment, plan choices and benefits are projected to increase.
Medicare Part D Premiums in 2023
The 2023 Part D premium varies by plan and coverage. In 2023, the national base beneficiary premium — which is the average Part D premium cost — is $32.74.
Remember, Part D prescription drug coverage is optional with Original Medicare. If you don’t opt into a plan, you aren’t responsible for paying the premium.
According to the 2023 Medicare Fact Sheet, 100% of people in all 50 U.S. states have access to a stand-alone Medicare Part D plan with a lower premium in 2023 compared to what they paid in 2022.
Most people only pay the monthly premium, which is set by their provider, for Medicare Part D coverage. But people with higher incomes also have to pay an additional fee based on their income reported to the Internal Revenue Service. For 2023, that would most likely be based on their 2022 income.
|Filed an Individual Tax Return||Filed a Joint Tax Return||Married Filing Separately Tax Return||Your Monthly Premium in 2023|
|$97,000 or less||$194,000 or less||$97,000 or less||Your plan premium|
|More than $97,000 up to $123,000||Above $194,000 up to $246,000||N/A||$12.20 + your plan premium|
|More than $123,000 up to $153,000||Above $246,000 up to $306,000||N/A||$31.50 + your plan premium|
|More than $153,000 up to $183,000||Above $306,000 up to $366,000||N/A||$50.70 + your plan premium|
|More than $183,000 but less than $500,000||Above $366,000 but less than $750,000||More than $97,000 but less than $403,000||$70.00 + your plan premium|
|$500,000 or above||$750,000 or above||$403,000 and above||$76.40 + your plan premium|
The extra amount you pay is not part of your plan premium and you do not pay it to your Medicare Part D insurer.
In most cases, the extra amount will be held out of your Social Security check. If it isn’t withheld, you’ll get a bill from either the Social Security Administration or the Railroad Retirement Board.
You also have to pay the extra fee if you are in a Medicare Advantage plan that includes prescription drug coverage.
If you don’t pay the extra fee, you can lose your Medicare Part D coverage.
Medigap Premiums in 2023
Your Medigap premiums in 2023 vary. They depend on the plan you choose, where you live and when you purchase a policy. If you have Original Medicare, you can purchase a Medigap policy to help cover some of the Part A and B premiums. You cannot get a Medigap Policy if you have Medicare Advantage.
To get the best premium price, consider buying a Medigap policy within the six-month window that starts the first month you have Medicare Plan B. During this period, all Medigap polices are priced the same, even if you’re in poor health. After the six-month window closes, companies can raise Medigap premiums if you have health problems.
Where you live also affects your Medigap premiums. The table below shows costs for different Medigap plans for a 50-year-old woman who doesn’t smoke in Florida.
|Medigap Plan Type||Premium Cost|
|Plan A||$358 - $857|
|Plan B||$460 - $788|
|Plan C||$650 - $914|
|Plan D||$669 - $784|
|Plan F||$521 - $1,159|
|Plan F (High Deductible)||$201 - $546|
|Plan G||$455 - $936|
|Plan G (High Deductible)||$207 - $645|
|Plan K||$247 - $358|
|Plan L||$355 - $547|
|Plan M||$440 - $620|
|Plan N||$353 - $748|
Frequently Asked Questions About Medicare Premiums
11 Cited Research Articles
- National Council on Aging. (2022, October 24). Medicare Parts A and B Costs. Retrieved from https://www.ncoa.org/article/medicare-parts-a-and-b-costs
- U.S. Department of Health & Human Services. (2022, September 29). Biden-Harris Administration Announces Lower Premiums for Medicare Advantage and Prescription Drug Plans in 2023. Retrieved from https://www.hhs.gov/about/news/2022/09/29/biden-harris-administration-announces-lower-premiums-for-medicare-advantage-and-prescription-drug-plans-in-2023.html
- U.S. Centers for Medicare & Medicaid Services. (2022, September 29). Fact Sheet. Retrieved from https://www.cms.gov/files/document/2023-medicare-advantage-and-part-d-state-state-fact-sheets.pdf
- U.S. Centers for Medicare & Medicaid Services. (2022, September 27). 2023 Medicare Parts A & 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
- U.S. Centers for Medicare & Medicaid Services. (2022, July 29). CMS Releases 2023 Projected Medicare Basic Part D Average Premium. Retrieved from https://www.cms.gov/newsroom/news-alert/cms-releases-2023-projected-medicare-basic-part-d-average-premium
- U.S. Centers for Medicare & Medicaid Services. (2022). Avoid Late Enrollment Penalties. Retrieved from https://www.medicare.gov/basics/costs/medicare-costs/avoid-penalties
- U.S. Centers for Medicare & Medicaid Services. (2022). Costs of Medigap Policies. Retrieved from https://www.medicare.gov/supplements-other-insurance/whats-medicare-supplement-insurance-medigap/medigap-costs/costs-of-medigap-policies
- U.S. Centers for Medicare & Medicaid Services. (2022). Find a Medigap Policy That Works for You. Retrieved from https://www.medicare.gov/medigap-supplemental-insurance-plans/
- U.S. Centers for Medicare & Medicaid Services. (2022). Monthly Premium for Drug Plans. Retrieved from https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/monthly-premium-for-drug-plans
- U.S. Centers for Medicare & Medicaid Services. (2022). Part D Late Enrollment Penalty. Retrieved from https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/part-d-late-enrollment-penalty
- Biogen. (2021, December 20). Biogen Announces Reduced Price for ADUHELM® to Improve Access for Patients with Early Alzheimer’s Disease. Retrieved from https://investors.biogen.com/news-releases/news-release-details/biogen-announces-reduced-price-aduhelmr-improve-access-patients
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