Medicare Cost Calculator
Calculate your 2026 Medicare costs: Part A, Part B, Part D premiums, and IRMAA income surcharges. See if high income triggers higher premiums and how to potentially reduce your costs.
Calculator
How it works
Calculation methodology
Medicare 2026: A Complete Cost Breakdown
Medicare is not free, and costs vary dramatically based on your income history, the coverage choices you make, and whether IRMAA applies. Planning ahead can save thousands per year.
What Each Part Costs in 2026
| Part | What It Covers | 2026 Premium |
|---|---|---|
| Part A | Hospital, skilled nursing, hospice | $0 with 40+ work quarters; $311 (30–39) or $565 (<30) per month; $1,736 deductible |
| Part B | Doctors, outpatient, preventive | $202.90/month standard ($283 deductible) |
| Part D | Prescription drugs | ~$40–$60/month (plan varies) |
| Medigap G | Fills A+B cost gaps | $120–$250/month (age/location) |
| Medicare Advantage | Replaces A+B+D | Often $0–$100/month |
IRMAA Surcharges 2026: Part B Premiums by Income
| Single MAGI (2024) | Joint MAGI (2024) | Monthly Part B | Part D add-on |
|---|---|---|---|
| Up to $109,000 | Up to $218,000 | $202.90 | $0 |
| $109,001 – $137,000 | $218,001 – $274,000 | $284.10 | +$14.50 |
| $137,001 – $171,000 | $274,001 – $342,000 | $405.80 | +$37.50 |
| $171,001 – $205,000 | $342,001 – $410,000 | $527.50 | +$60.40 |
| $205,001 – $499,999 | $410,001 – $749,999 | $649.20 | +$83.30 |
| $500,000 and up | $750,000 and up | $689.90 | +$91.00 |
Source: CMS 2026 Medicare Parts A & B premiums and deductibles. Married filing separately has its own, stricter tiers.
Strategies to Reduce Medicare Costs
Roth conversions before age 63 reduce your future MAGI (which is assessed on a 2-year lookback), potentially keeping you below IRMAA thresholds in retirement. QCDs (Qualified Charitable Distributions) from your IRA reduce MAGI and can help avoid IRMAA brackets. If you experience a qualifying life event (retirement, divorce) that reduced your income, file Form SSA-44 to appeal your IRMAA determination using current income rather than the 2-year lookback.
See how Medicare costs fit into your overall retirement plan with our Retirement Calculator.
Questions