Late November 14, the Centers for Medicare and Medicaid (CMS) officially released changes to Medicare premiums and deductibles for 2026. The 2026 Medicare costs are below.
2026 Medicare Part B Premium and Deductible Explained
Medicare Part B is essential for medical coverage, and its standard monthly premium in 2026 is $202.90, up $17.90 from the standard premium in 2025. However, if you reported more than $109,000 in modified adjusted gross income (MAGI) on your 2024 tax return (or $218,000 for joint filers), you will pay a higher premium according to the chart below. This added charge is known as the Income-Related Monthly Adjustment Amount (IRMAA).
The Social Security Administration determines IRMAA based on your tax return, and if applicable, you will receive an IRMAA letter notifying you of the increased premium amount.
Note that the annual deductible for Part B beneficiaries is $283 in 2026, $26 more than in 2025.
View the table below for more of a breakdown on how income level affects Part B premiums next year.
Official 2026 IRMAA Tables: Income-Related Part B Premiums
| Modified adjusted gross income for individual filers: | Modified adjusted gross income for joint filers | Total monthly premium amount |
|---|---|---|
| Less than or equal to $109,000 | Less than or equal to $218,000 | $202.90 |
| Greater than $109,000 and less than or equal to $137,000 | Greater than $218,000 and less than or equal to $274,000 | $284.10 |
| Greater than $137,000 and less than or equal to $171,000 | Greater than $274,000 and less than or equal to $342,000 | $405.80 |
| Greater than $171,000 and less than or equal to $205,000 | Greater than $342,000 and less than or equal to $410,000 | $527.50 |
| Greater than $205,000 and less than $500,000 | Greater than $410,000 and less than $750,000 | $649.20 |
| Greater than or equal to $500,000 | Greater than or equal to $750,000 | $689.90 |
Note: Confirmed by CMS November 2025
Medicare Part D premiums and IRMAA in 2026
Medicare Part D monthly premiums are dependent on the plan and set by the insurance provider or carrier. However, beneficiaries who reported income more than $109,000 for single filers and more than $218,000 for joint filers pay an additional adjustment amount.
Medicare Premiums 2026: Part D Premium Based on Income Level
| File Individual Tax Return | File Joint Tax Return | Monthly 2026 Part D Premium |
|---|---|---|
| Less than or equal to $109,000 | Less than or equal to $218,000 | Your Plan Premium |
| Greater than $109,000 and less than or equal to $137,000 | Greater than $218,000 and less than or equal to $274,000 | $14.50 + Your Plan Premium |
| Greater than $137,000 and less than or equal to $171,000 | Greater than $274,000 and less than or equal to $342,000 | $37.50 + Your Plan Premium |
| Greater than $171,000 and less than or equal to $205,000 | Greater than $342,000 and less than or equal to $410,000 | $60.40+ Your Plan Premium |
| Greater than $205,000 and less than $500,000 | Greater than $410,000 and less than $750,000 | $83.30 + Your Plan Premium |
| $500,000 or above | $750,000 or above | $91.00 + Your Plan Premium |
Note: Confirmed by CMS November 2025
What is the Medicare Part A deductible for 2026?
Medicare Part A covers stays at hospitals, skilled nursing facilities, hospices, inpatient rehabilitation facilities, and some home health care services. For those who do buy in to Medicare Part A, the 2026 Part A premium is $311 per month (30 to 39 quarters of Medicare-covered work) or $565 per month (fewer than 30 quarters). And those services are subject to a deductible and coinsurance. In 2026, if a beneficiary stays at a hospital 1-60 days, the deductible is set at $1,736 ($60 more than in 2025). If the inpatient stay is longer than 60 days, the beneficiary must pay a daily coinsurance of $434 from the 61st-90th day.
Medicare Part A Deductible 2026 Chart
| 2025 | 2026 | |
|---|---|---|
| Inpatient hospital deductible | $1,676 | $1,736 |
| Daily hospital coinsurance for 61st-90th day | $419 | $434 |
| Daily hospital coinsurance for lifetime reserve days | $838 | $868 |
| Skilled nursing facility daily coinsurance (days 21-100) | $209.50 | $217 |
