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2025 Medicare Costs: Parts A, B, C, D and Medigap

Explore 2025 Medicare costs such as deductibles, copayments, coinsurance and other costs. Learn how you may be able to get help covering your Medicare costs.

There are 4 primary parts of Medicare, which include some private Medicare policy options. Another type of private Medicare policy is Medicare Supplement Insurance (also called Medigap).

In this guide, we detail the 2025 Medicare costs for each of the following types of Medicare coverage:

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2025 Medicare costs at a glance

There are several types of costs that may be associated with each type of Medicare plan.

  • Premium
    A Medicare premium is the amount that you pay in order to maintain your coverage. Medicare premiums are often paid on a monthly basis.

  • Deductible
    Your Medicare deductible is the amount that you must pay out of pocket for covered services before your Medicare coverage kicks in.

  • Coinsurance
    Coinsurance is the percentage of your healthcare charges that you pay once your deductible is met (example: 20 percent).

  • Copayments
    Copayments are specific amounts you pay for a healthcare service after your deductible is met (example: $20).

Depending on the type of Medicare coverage you have, there may be other costs that you could potentially face. Keep reading to learn more.

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Medicare Part A costs in 2025

Medicare Part A is known as hospital insurance and helps cover: 

  • Hospital care
  • Hospice
  • Limited home health services
  • Skilled nursing facility care

Part A premiums

Most people do not pay a premium for Medicare Part A, as long as they or or their spouse paid sufficient Medicare taxes while working.

  • If you paid Medicare taxes for at least 40 quarters (10 years), you do not have to pay a premium for Part A.

  • If you paid Medicare taxes for between 30 and 39 quarters, you will pay a premium of $285 per month in 2025 for Part A coverage.

  • If you paid Medicare taxes for fewer than 30 quarters, your monthly Part A premium will be $518 in 2025.

Part A deductible

Your Part A deductible is the amount you must pay in hospital costs before Medicare begins paying its share.

In 2025, the Part A deductible is $1,676 per benefit period.

Medicare Part A benefit periods are based on how long you’ve been discharged from the hospital:

  • A benefit period begins on the day you're admitted for inpatient care at a hospital, skilled nursing facility or other Medicare-approved facility.

  • Your benefit period resets when you’ve been out of the hospital for 60 days.

  • If you return to the hospital for another visit after 60 days has past, you would have to pay the Part A deductible again because your benefit period reset. 

Part A coinsurance for hospital stays

After you meet your Part A deductible in a benefit period, you will be responsible for daily coinsurance payments for as long as you remain hospitalized:

  • For your first 60 days that you are in the hospital, you pay nothing additional out of pocket for your hospital costs after meeting your $1,676 deductible.

  • For days 61-90 in a hospital during a single benefit period, you pay a $419 coinsurance in 2025 for each day you are hospitalized.

  • If you are in the hospital for more than 90 days during a single benefit period, you pay a $838 coinsurance in 2025 for each day you are hospitalized, for up to 60 lifetime reserve days.

Part A coinsurance for skilled nursing facility care

Medicare Part A covers skilled nursing care provided in a skilled nursing facility under certain circumstances. The 2025 Part A coinsurance amounts are as follows:

  • Days 1-20: $0 coinsurance per benefit period

  • Days 21-100: $209.50 coinsurance per day of each benefit period

  • Days 101 and beyond: You are responsible for all costs

Medicare Part B costs in 2025

Medicare Part B is known as medical insurance and helps cover preventive services and medically necessary services that include (but aren't limited to):

  • Clinical research
  • Doctor’s services
  • Ambulance services
  • Limited outpatient prescription drugs
  • Getting a second opinion before surgery
  • Durable medical equipment (DME)

Part B premiums

In 2025, the standard Medicare Part B premium is $185 per month.

Most people pay the standard premium amount, but your Part B premium could be higher depending on your income. Some people who get Social Security benefits may pay less.

In 2025, individuals with reported 2023 incomes of more than $106,000 and married couples with reported 2023 incomes of greater than $212,000 have to pay more for their Part B coverage.

This increased amount is called the Medicare IRMAA, or the Income-Related Monthly Adjustment Amount.

The chart below shows what you will pay for your Part B premium in 2025 based on your modified adjusted gross income from two years prior (2023).

2025 Medicare Part B IRMAA
2023 Individual tax return 2023 Joint tax return 2023 Married and separate tax return 2025 Part B premium

$106,000 or less

$212,000 or less

$106,000 or less

$185.00

More than $106,000 and up to $133,000

More than $212,000 and up to $266,000

N/A

$259.00

More than $133,000 up to $167,000

More than $266,000 up to $334,000

N/A

$370.00

More than $167,000 up to $200,000

More than $334,000 up to $400,000

N/A

$480.90

More than $200,000 up to $500,000

More than $400,000 up to $750,000

More than $106,000 up to $394,000

$591.90

More than or equal to $500,000

More than or equal to $750,000

More than or equal to $394,000

$628.90

Part B deductible

Your Part B deductible is the amount you must pay in medical costs before Medicare begins paying its share.

In 2025, the Part B deductible is $257 per year.

Part B coinsurance/copayment

After you meet your Part B deductible, you typically pay 20 percent of the Medicare-approved amount for most doctor’s services.

Part B excess charges

Doctors who do not accept Medicare assignment can charge more than the Medicare-approved amount for a service or procedure. The difference between the amount a doctor charges and the Medicare-approved amount is known as an excess charge.

The Part B excess charge can be as much as 15 percent more than the Medicare-approved amount.

2025 Medicare Advantage (Part C) costs

Medicare Advantage (Medicare Part C) is an alternative to Original Medicare that provides the same benefits as Medicare Part A and Part B.

Medicare Advantage plans can also cover prescription drugs, and plans may also offer coverage for vision, dental, hearing and/or health and wellness programs or gym membership; for example SilverSneakers. Availability of these benefits varies, and plans offering these benefits may not be available where you live.

Original Medicare does not typically cover routine vision, dental or hearing services.

If your Medicare Advantage plan includes coverage for prescription drugs, you typically pay a coinsurance or copayment for covered drugs.

Specific prescription drug costs will vary depending on the Medicare Advantage Prescription Drug (MA-PD) plan you enroll in.

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2025 Medicare Advantage premiums

Because Medicare Advantage plans are sold by private insurance companies, there is no standard premium like there is with Original Medicare. Premiums may vary according to plan, insurance carrier and location.

Depending on where you live, there may be Medicare Advantage plans available that feature $0 premiums, though such plans aren't available in all locations. Regardless of the Medicare Advantage premium, beneficiaries are still required to pay their monthly Part B premium.

2025 Medicare Advantage out-of-pocket maximum

Medicare Advantage have an out-of-pocket maximum, which limits how much you could pay out of pocket for care in a given year. Original Medicare does not have an out-of-pocket maximum.

2025 Medicare Part D costs

Original Medicare does not generally cover prescription drugs, with the exception of limited outpatient prescription drugs.

If you want Medicare prescription drug coverage, you can enroll in a Medicare Advantage plan that includes drug coverage, or you can enroll in a stand-alone Part D (Medicare Prescription Drug Plan) plan.

Compare Part D plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Part D premiums

If you enroll in a Medicare Part D plan, you typically pay a monthly premium for your Part D coverage in addition to your Medicare Part B and Medicare Advantage premiums (if applicable).

Part D premiums will differ from one plan, carrier or location to another.

The average premium for a Part D plan in 2025 is $46.50 per month.2

As with Medicare Part B, some people who earn a higher income may pay a higher premium for their Part D plan. This increased amount is called the Income-Related Monthly Adjustment Amount (IRMA).

The table below shows what you can expect to pay for your 2025 Part D premiums based on your reported income in 2023.

2025 Medicare Part D IRMAA
2023 Individual tax return 2023 Joint tax return 2023 Married and separate tax return 2025 Part D premium

$106,000 or less

$212,000 or less

$106,000 or less

Your plan premium

More than $106,000 and up to $133,000

More than $212,000 and up to $266,000

N/A

Your plan premium + $13.70

More than $133,000 up to $167,000

More than $266,000 up to $334,000

N/A

Your plan premium + $35.30

More than $167,000 up to $200,000

More than $334,000 up to $400,000

N/A

Your plan premium + $57.00

More than $200,000 up to $500,000

More than $400,000 up to $750,000

More than $106,000 up to $394,000

Your plan premium + $78.60

More than or equal to $500,000

More than or equal to $750,000

More than or equal to $394,000

Your plan premium + $85.80

2025 Part D deductibles

Part D deductibles may vary from one plan to the next. In 2025, Part D plans cannot have an annual deductible higher than $590 for covered drugs.

Part D coinsurance/copayments

Medicare Part D plans include a drug formulary, which is a list of what drugs the plan may cover.

Medicare plan formularies are divided into tiers. Formulary tiers correspond to how much you might pay in coinsurance or copayments for specific drugs (after you meet your Part D deductible):

  • Low-cost, generic drugs are typically on lower tiers.
  • More expensive and brand name drugs are typically on higher tiers.

Out-of-pocket Part D costs for covered drugs are capped at $2,000 in 2025.

Part D beneficiaries can spread out payments for their out-of-pocket drug costs over the year. This will help some beneficiaries avoid high out-of-pocket drug costs during a single month

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2025 Medicare Supplement Insurance (Medigap) costs

Medicare Supplement Insurance, or Medigap, helps cover some of the out-of-pocket costs that Medicare Part A and Part B don't cover, such as deductibles, coinsurance and copayments.

There are 10 different types of standardized Medigap plans available in most states. The types of costs that different types of Medigap plans are illustrated in the 2025 Medigap plans comparison chart below. 

Click here to view enlarged chart Scroll to the right to continue reading the chart
Medicare Supplement Benefits A B C* D F1* G1 K2 L3 M N4
Part A coinsurance and hospital coverage                    
Part B coinsurance or copayment             50% 75%    
Part A hospice care coinsurance or copayment             50% 75%    
First 3 pints of blood             50% 75%    
Skilled nursing facility coinsurance             50% 75%    
Part A deductible             50% 75% 50%  
Part B deductible                    
Part B excess charges                    
Foreign travel emergency     80% 80% 80% 80%     80% 80%
* Plan F and Plan C are not available to Medicare beneficiaries who became eligible for Medicare on or after January 1, 2020. If you became eligible for Medicare before 2020,... you may still be able to enroll in Plan F or Plan C as long as they are available in your area.

1 Plans F and G offer high-deductible plans that each have an annual deductible of $2,870 in 2025. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year. The high-deductible Plan F is not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020.

2 Plan K has an out-of-pocket yearly limit of $7,220 in 2025. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.

3 Plan L has an out-of-pocket yearly limit of $3,610 in 2025. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.

4 Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to $50 copayment for emergency room visits that don’t result in an inpatient admission.
+ Read more

Foreign travel emergency costs

Original Medicare does not typically cover healthcare services received outside of the U.S. and its territories. This means that you are generally responsible for 100 percent of your health care costs while traveling abroad.

If you have a Medigap plan that helps cover foreign travel emergency costs, however, you could get help covering some of the costs that Original Medicare would not otherwise typically pay.

Medicare Advantage eligibility and enrollment

Once you’re enrolled in Medicare Part A and Part B, you may be able to enroll in a Medicare Advantage plan.

Speak with a licensed insurance agent to learn more about your options and to compare Medicare Advantage plans in your area.

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Christian Worstell

About the author

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 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.

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