CMS · 2026 Medicare premiums and deductibles

Medicare Part B premium 2026: $202.90 a month

The standard Medicare Part B premium for 2026 is $202.90 a month, up $17.90 from $185.00 in 2025, and the Part B deductible is $283 (was $257). Higher incomes pay up to $689.90. CMS had not announced the 2027 premium by November 13, 2026.

Retirement Benefit Calculator editorial teamUpdated 4 sources

Calculator

Your Social Security deposit after Medicare Part B

The COLA raises your benefit; the Part B premium comes out of it. Enter last year’s benefit and both premiums.

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New monthly benefit$2,056$56 more a month with a 2.8% COLA

Benefit before the COLA$2,000
× (1 + 2.8%)$2,056.00
New benefit (rounded down)$2,056
Medicare Part B premium (old → new)$185.00 → $202.90
Deposit after Part B (old → new)$1,815.00 → $1,853.10

The SSA applies the COLA to your full benefit and rounds the benefit down to the whole dollar; the Medicare premium is then subtracted, so the deposit can have cents.

Medicare Part B premium and deductible: 2025 vs 2026

CMS set the 2026 standard Part B premium at $202.90 and the annual deductible at $283[cms26]. CMS attributes the increase mainly to projected price changes and higher use of services. The Part A hospital costs rose too:

Medicare Parts A and B, 2025 and 2026
Item20252026
Part B standard monthly premium$185.00$202.90
Part B annual deductible$257$283
Part B premium range with IRMAA$259.00–$628.90$284.10–$689.90
Part A inpatient hospital deductible$1,676$1,736
Hospital coinsurance, days 61–90 (per day)$419$434
Lifetime reserve days (per day)$838$868
Skilled nursing, days 21–100 (per day)$209.50$217.00
Part A premium, 30–39 work quarters$285$311
Part A premium, under 30 quarters$518$565

About 99% of people pay no Part A premium because they or a spouse have 40 quarters of Medicare-covered work[cms26]. The 2025 figures are from CMS's 2025 fact sheet[cms25].

Medicare cost 2026 for a typical enrollee

At the standard premium, Part B costs $2,434.80 for 2026 ($202.90 × 12), plus the $283 deductible before Part B starts paying, then usually 20% coinsurance. Part D drug plans and Medigap or Medicare Advantage premiums are separate and vary by plan.

About 8% of people with Part B pay more because of income[cms26]. The 2026 surcharges are based on 2024 income and start above $109,000 for single filers ($218,000 joint); the full tables and a calculator are on the IRMAA brackets 2026 page.

Medicare deduction from Social Security in 2026

If you get Social Security, Part B is taken out of your monthly payment, so the 2.8% COLA for 2026 was partly used up by the higher premium[cola26]. In the calculator's default example, a $2,000 benefit rises to $2,056 (rounded down to the dollar), and after the $202.90 premium the deposit is $1,853.10, up from $1,815.00 in 2025: $38.10 more a month instead of the full $56.

A hold-harmless rule in the Social Security Act stops most people's Part B increase from being larger than their COLA in dollars, so the net check cannot go down from one year to the next[s1839]. It does not cover people who pay IRMAA, new enrollees or people whose premiums are paid by Medicaid. For 2026 it matters only for small benefits: 2.8% of a benefit under about $639 is less than the $17.90 premium increase.

Medicare Part B premium 2027

CMS had not published the 2027 Part B premium, deductible or IRMAA brackets when this page was last updated (November 13, 2026); it usually does so in November. The 2027 Social Security COLA is 3.6%, so a $2,056 benefit becomes $2,130; whether the deposit grows by the full $74 depends on the new premium. See the 2027 COLA page for the full list of 2027 changes, and the payment schedule for deposit dates.

Common mistakes

  • Expecting the full COLA in your bank account. The COLA applies to the gross benefit; the new premium comes out after it.
  • Missing the initial enrollment window. Signing up for Part B late without other qualifying coverage adds a 10% premium penalty for each full 12 months you could have had it, usually for as long as you have Part B[s1839].
  • Assuming Medicare starts with Social Security. Medicare starts at 65 even if your full retirement age is 67; if you are not yet collecting Social Security, you pay Part B directly.
  • Forgetting the income look-back. A large 2024 income can raise your 2026 premium even after you retire.

Estimate your benefit firstThe Social Security calculator shows your gross benefit at any claiming age; subtract the Part B premium above for the amount you actually receive.

Frequently asked questions

How much is the Medicare Part B premium in 2026?

$202.90 a month for most people, up from $185.00 in 2025. People with 2024 MAGI above $109,000 (single) or $218,000 (joint) pay $284.10 to $689.90.

What is the 2026 Medicare Part B deductible?

$283 for the year, up $26 from $257. The Part A hospital deductible is $1,736 per benefit period.

How much will be deducted from my Social Security for Medicare in 2026?

The standard $202.90 a month for Part B, plus any IRMAA and, if you chose to, your Part D or Medicare Advantage premium. On a $2,000 benefit from 2025, the 2026 deposit is $1,853.10.

What is the Medicare Part B premium for 2027?

It had not been announced as of November 13, 2026. CMS usually announces it in November, together with the deductible and the 2027 IRMAA brackets.

Sources

  1. 2026 Medicare Parts A & B Premiums and Deductibles (fact sheet) · Centers for Medicare & Medicaid Services, Nov 14, 2025
  2. 2025 Medicare Parts A & B Premiums and Deductibles (fact sheet) · Centers for Medicare & Medicaid Services, Nov 8, 2024
  3. 2026 Cost-of-Living Adjustment (COLA) Fact Sheet · Social Security Administration, Oct 24, 2025
  4. Social Security Act § 1839, Amounts of premiums (including the hold-harmless rule in subsection (f)) · Social Security Administration (Compilation of the Social Security Laws), current