Medicare Part B and Part D premiums can both be affected by your income level. Learn more about what you may pay for Medicare, depending on your income.
Medicare Part B and Part D require higher income earners to pay higher premiums for their plan. If you have Part B and/or Part D benefits (which are optional), your premiums will be based in part on your reported income level from two years prior.
This means that your Medicare Part B and Part D premiums in 2024 may be based on your reported income in 2022.
In this guide, we break down the costs of Medicare by income level, including costs for Medicare Part A, Part B, Part C, Part D and Medicare Supplement Insurance plans.
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TTY 711, 24/7Medicare Part B (medical insurance) premiums are based on your reported income from two years prior. The higher premiums based on income level are known as the Medicare Income-Related Monthly Adjustment Amount (IRMAA) .
The 2024 Medicare Part B premium costs by income level are as follows:
$174.70
More than $103,000 and up to $129,000
More than $206,000 and up to $258,000
$244.60
More than $129,000 up to $161,000
More than $258,000 up to $322,000
$349.40
More than $161,000 up to $193,000
More than $322,000 up to $386,000
$454.20
More than $193,000 up to $500,000
More than $386,000 up to $750,000
More than $103,000 up to $397,000
$559.00
More than or equal to $500,000
More than or equal to $750,000
More than or equal to $397,000
$594.00
There are several Medicare Savings Programs in place for qualified individuals who may have difficulty paying their Part B premium.
Medicare Part B includes several other costs in addition to monthly premiums. The 2024 Part B deductible is $240 per year.
After you meet your deductible, you typically pay 20 percent of the Medicare-approved amount for qualified Medicare Part B services and devices. Medicare typically pays the other 80 percent of the cost, no matter what your income level may be.
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TTY 711, 24/7Like Medicare Part B, Medicare Part D prescription drug plans use the IRMAA to determine plan premium costs by income level.
2024 Medicare Part D plan premiums, based on income level from 2022, are as follows:
Your plan premium
More than $103,000 and up to $123,000
More than $206,000 and up to $258,000
$12.90 + your plan premium
More than $129,000 up to $161,000
More than $258,000 up to $322,000
$33.30 + your plan premium
More than $161,000 up to $193,000
More than $322,000 up to $386,000
$53.80 + your plan premium
More than $193,000 up to $500,000
More than $386,000 up to $750,000
More than $103,000 up to $397,000
$74.20 + your plan premium
More than or equal to $500,000
More than or equal to $750,000
More than or equal to $397,000
$81.00 + your plan premium
There are some assistance programs that can help qualified lower-income beneficiaries afford their Medicare Part D prescription drug coverage.
Part D plans are sold by private insurance companies, so additional costs such as copayment amounts and deductibles can vary from plan to plan.
Are you looking for Medicare prescription drug coverage?
You can compare Medicare drug plans available where you live and – if you're eligible – enroll in a Medicare prescription drug plan online when you
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TTY 711, 24/7Your income level has no bearing on the amount you will pay for Medicare Part A (hospital insurance). Part A premiums (if you are required to pay them) are based on how long you worked and paid Medicare taxes.
Medicare Part A premium costs in 2023 are as follows:
Number of quarters you paid Medicare taxes
2024 Medicare Part A monthly premium
40 or more (at least 10 full years)
$0
$278
Fewer than 30 quarters
$505
Most Part A beneficiaries qualify for premium-free Part A coverage.
Two of the Medicare Savings Programs that may help pay Part A premium costs for qualified individuals include:
Medicare Advantage and Medigap costs by income level
Medicare Part C plans (also called Medicare Advantage) and Medicare Supplement Insurance plans (also called Medigap) are sold by private insurance companies. The cost of plans can vary from one provider to the next.
Read additional Medicare costs guides to learn more about Medicare costs and how they will affect you.
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TTY 711, 24/7 Continue onlineDid you know that a Medicare Advantage plan covers the same benefits that are covered by Medicare Part A and Part B (Original Medicare)? Did you know that some Medicare Advantage plans also offer benefits not covered by Original Medicare?
Some of these additional benefits – such as prescription drug coverage or dental benefits – can help you save some costs on your health care, no matter what your income level may be.
Some Medicare Advantage plans even feature $0 monthly premiums , though $0 premium plans may not be available in all locations. Find out if a $0 premium plan is available where you live by calling to speak with a licensed insurance agent.
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TTY 711, 24/7Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.
Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.
Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.
A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.
If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.
