MEDICARE PREMIUMS
2024 Costs at a Glance
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Premium-Free Part A
You usually don't pay a monthly premium for Medicare Part A (Hospital Insurance) coverage if you or your spouse paid Medicare taxes for a certain amount of time while working. This is sometimes called "premium-free Part A."
Most people get premium-free Part A.
You can get premium-free Part A at 65 if:
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You already get retirement benefits from Social Security or the Railroad Retirement Board.
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You're eligible to get Social Security or Railroad benefits but haven't filed for them yet.
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You or your spouse had Medicare-covered government employment.
If you're under 65, you can get premium-free Part A if:
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You got Social Security or Railroad Retirement Board disability benefits for 24 months.
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You have End-Stage Renal Disease (ESRD) and meet certain requirements.
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Part A premiums
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If you don't qualify for premium-free Part A, you can buy Part A.
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If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $505. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $278 for 2024
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In most cases, if you choose to buy Part A, you must also:
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Pay monthly premiums for both Part A and Part B
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Contact Social Security for more information about the Part A premium.
Part B Premium
Some people automatically get Medicare Part B (Medical Insurance), and some people need to sign up for Part B. Learn how and when you can sign up for Part B.
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If you don't sign up for Part B when you're first eligible, you may have to pay a late enrollment penalty.
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The standard Part B premium amount in 2024 is $174.70 Most people pay the standard Part B premium amount. If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you'll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium.
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Part C Premium
The Part C monthly premium varies by plan.
Part D Premium
The Part D monthly premium varies by plan (higher-income consumers may pay more).
If you don't sign up for Part D when you're first eligible, you may have to pay a late enrollment penalty.