2019 Medicare Parts A & B Premiums and Deductibles Released

Written by Jessica Adkins

October 12, 2018

The Centers for Medicare & Medicaid Services (CMS) released the 2019 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs.

Medicare Part B Premiums & Deductibles

The standard monthly premium for Medicare Part B enrollees will be $135.50 for 2019, an increase of $1.50 from 2018. An estimated 2 million Medicare beneficiaries (about 3.5%) will pay less than the full Part B standard premium amount in 2019 due to the statutory hold harmless provision, which limits certain beneficiaries’ increase in their Part B premium to be no greater than the increase in their Social Security benefits.

The annual deductible for all Medicare Part B beneficiaries in $185 in 2019. Premiums and deductibles for Medicare Advantage and Medicare Part D Prescription Drug Plans are already finalized and unaffected by this announcement.

The income-related monthly adjustment amounts (IRMAA) affect roughly 5% of people with Medicare Part B. The total premiums for high-income beneficiaries for 2019 are shown below:

Beneficiaries who file individual tax returns
with income:
Beneficiaries who file joint tax returns with income:
Income-related monthly adjusted amount
Total monthly premium amount
Less than or equal $85,000 Less than or equal to
$0 $135.50
Greater than $85,000 and
less than or equal $107,000
Greater than $170,000 and
less than or equal to
$54.10 $189.60
Greater than $107,000 and less than or equal to $133,500 Greater than $214,000 and
less than or equal to
$135.40 $270.90
Greater than $133,500 and less than or equal to $160,000 Greater than $267,000 and
less than or equal to
$216.70 $352.20
Greater than $160,000 and
less than $500,000
Greater than $320,000 and
less than $750,000
$297.90 $433.40
Greater than or equal to
Greater than or equal to
$325.00 $460.50

Medicare Part A Premiums & Deductibles

The Medicare Part A inpatient deductible that beneficiaries will pay when admitted to the hospital will be $1,364 in 2019. The Part A inpatient hospital deductible covers beneficiaries’ share of costs for the first 60 days of Medicare-covered inpatient hospital care in a benefit period. In 2019, beneficiaries must pay a coinsurance amount of $341 per day for the 61st through 90th day of a hospitalization in a benefit period and $682 per day for lifetime reserve days. For beneficiaries in skilled nursing facilities, the daily coinsurance for days 21 through 100 of extended care services in a benefit period will be $170.50 in 2019.

Individuals who had at least 30 quarters of coverage or were married to someone with at least 30 quarters of coverage may buy into Part A at a reduced monthly premium rate, which will be $240 in 2019. Certain uninsured individuals who have less than 30 quarters of coverage and certain individuals with disabilities who have exhausted other entitlement will pay the full premium, which will be $437 each month.

For more information on the 2019 Medicare Parts A and B premiums and deductibles please visit the official press release from CMS.


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