Medicare Part B is a key health insurance plan in the United States that provides coverage for medical services to seniors and certain eligible individuals. This plan covers doctor visits, outpatient care, home health services, and some preventive services. Each year, the Centers for Medicare & Medicaid Services (CMS) adjusts Part B premiums and deductibles based on healthcare costs and inflation.
In 2026, beneficiaries can expect a slight increase in monthly premiums. However, final rates will only be announced in October 2025. These changes will affect all individuals enrolled in original Medicare and those with certain Medicare Advantage coverage.
Estimated Monthly Premiums for 2026
In 2025, the standard premium for Medicare Part B was $179.80 per month. According to preliminary estimates, it could increase to approximately $186–$190 per month in 2026. This increase will depend on healthcare costs and other economic factors.
For beneficiaries with higher incomes, an Income-Related Monthly Adjustment Amount (IRMAA) applies, which may result in higher premiums. The estimated premium brackets are as follows:
| Income (Single) | Income (Shared Filing) | Estimated Monthly Premium (2026) |
|---|---|---|
| $103,000 or less | $206,000 or less | $186–$190 (Standard Rate) |
| $103,001–$129,000 | $206,001–$258,000 | $264+ |
| $129,001–$161,000 | $258,001–$322,000 | $330+ |
| Over $161,000 | Over $322,000 | $395+ or more |
Final numbers will be released by CMS by October 2025.
Changes in Annual Deductible
In 2025, the Part B annual deductible was $240. It is expected to increase to approximately $250–$255 in 2026. The deductible is the amount you have to pay before Medicare coverage for your outpatient services begins.
After the deductible is met, you typically pay 20% of the Medicare-approved amount as a service fee. This means you’ll pay a portion of most doctor visits, tests, and other services yourself.
How Premiums Are Deducted
If you receive Social Security, Railroad Retirement, or Office of Personnel Management (OPM) benefits, your Part B premium is automatically deducted from your monthly check. Otherwise, you’re billed every three months.
For most people, this process is seamless, but premium changes can affect your Social Security benefits, especially if the increase exceeds your COLA (Cost-of-Living Adjustment).
Tips for Managing Expenses
Medicare costs are rising, so there are some ways beneficiaries can control their spending:
- Compare Medicare Advantage plans: These plans often offer lower premiums and additional benefits.
- Check out Medicare Savings Programs: If your income is limited, these programs can help pay Part B premiums.
- Use the Annual Medicare Plan Finder: Review your options each fall to see if a better plan is available.
Through these measures, beneficiaries can better manage their health expenses and avoid unexpected financial burdens.
Medicare Part B premiums and deductibles change annually. Therefore, it is crucial to stay informed and make the right choices based on your financial plan. It would be wise for beneficiaries to be prepared for the modest increase expected in 2026 and take advantage of available resources.
FAQs
Q1. What does Medicare Part B cover?
Medicare Part B covers doctor visits, outpatient care, home health services, and certain preventive services.
Q2. How much is the estimated Part B premium for 2026?
The standard premium is expected to be around $186–$190 per month, with higher-income beneficiaries paying more.
Q3. What is the annual deductible for Medicare Part B in 2026?
The deductible is projected to increase to about $250–$255.
Q4. How are Part B premiums paid?
Premiums are automatically deducted from Social Security, Railroad Retirement, or OPM benefits, or billed every three months if not automatically deducted.
Q5. How can I manage Medicare Part B costs?
You can compare Medicare Advantage plans, explore Medicare Savings Programs, and review options annually using the Medicare Plan Finder.