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Part A and Part B – Hospital and Doctors

Part A

  • Hospital insurance that helps with inpatient hospital care, skilled nursing facility care (rehab only), hospice and home health care.
  • The deductible for Part A during 2019 is $1,364.
  • There is no cost for Part A if you paid Medicare taxes at least 40 quarters while working.

Part B

  • Medical insurance that helps with medically necessary doctor services and outpatient care.  Preventive services are also covered to help you maintain your health and keep illnesses from getting worse.
  • The deductible for Part B during 2019 is $185.  Medicare will pay 80% of medically necessary health care after you pay this deductible, and you will be responsible for the other 20%.
  • If you don’t sign up for Part B when you are first eligible (Initial Enrollment Period), you may have to pay a late enrollment penalty.
  • The cost for Part B is based on your income.  In 2019 the standard monthly premium for most people is $135.50 (see chart below). If you are not receiving your benefit, you will be billed quarterly by the SSA.

Part B Premiums By Income:

If your yearly income in 2017 (for what you pay in 2019) was:
File individual tax returnFile joint tax returnFile married & separate tax returnYou pay each month (in 2019)
$85,000 or less

$170,000 or less$85,000 or less$135.50
above $85,000 up to $107,000above $170,000 up to $214,000Not applicable$189.60
above $107,000 up to $133,500above $214,000 up to $267,000Not applicable$270.90
above $133,500 up to $160,000above $267,000 up to $320,000Not applicable$352.20
above $160,000 and less than $500,000above $320,000 and less than $750,000above $85,000 and less than $415,000$433.40
$500,000 or above$750,000 and above$415,000 and above$460.50

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