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How are Medicare benefits changing for 2026?
Changes to 2025 Medicare coverage include a $2,000 cap on Part D out-of-pocket costs, small reductions in the average premium for Medicare Advantage and Part D plans, increases for Medicare Part B and Part A premiums and cost-sharing, and adjustments to income-related premium surcharges for Part B and Part D.
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What is the income-related monthly adjusted amount (IRMAA)?
For 2025, high-income beneficiaries – earning over $106,000 a year – pay an IRMAA surcharge that’s added to their Part B and Part D premiums and determined by income from their income tax returns two years prior.

What is the Medicare Part B deductible for 2026?

Medicare Part B deductible

What is the Medicare Part B deductible for 2026?

The Part B deductible is $283 in 2026, which is a $26 increase from 2025.1

Does everyone have to pay the Part B deductible?

No, not everyone with Medicare has to pay the Part B deductible. For example:

  • The deductible is only charged if an enrollee receives medical care that’s covered by Part B, and certain preventive care is covered without a deductible.2 So if an enrollee stays healthy throughout the year and doesn’t need any care other than fully covered preventive care, they won’t have to pay the Part B deductible.
  • Medigap plans C and F cover the Part B deductible, although those plans are not available to anyone whose Medicare eligibility date is in 2020 or later.3
  • Enrollees who have Medicaid, employer-sponsored health coverage, or retiree health benefits from an employer generally don’t have to pay the Part B deductible, as the other coverage picks up some or all of the cost.
  • Some Medicare Advantage plans have no deductibles and low copays (Medicare Advantage enrollees pay the Part B premium plus the Medicare Advantage premium if the policy has a premium, and then the Medicare Advantage insurer wraps the Part A and B (and in most cases, D) benefits into one plan for the enrollee. But the cost-sharing can differ greatly from the standard Original Medicare cost-sharing).

But according to a Kaiser Family Foundation analysis,4 about 11% of Original Medicare beneficiaries only have Medicare Parts A and B. They don’t have Medigap coverage, employer-sponsored coverage, retiree health benefits from a former employer, or Medicaid. These enrollees — along with beneficiaries who have a Medigap plan other than C or F — have to pay the full Part B deductible if and when they need services that are covered under Medicare Part B. For 2026, that deductible is $283.

After the enrollee pays the deductible, Medicare Part B generally covers 80% of the Medicare-approved amount for covered services, and the enrollee pays the other 20%. But again, supplemental coverage can pay some or all of this 20% cost, leaving the enrollee with far lower out-of-pocket costs than they would have under Part B by itself.

Part B deductible by year

These amounts are indexed annually, after being set by the Medicare Modernization Act in 2005:


Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written hundreds of opinions and educational pieces about the Affordable Care Act and Medicare for healthinsurance.org and medicareresources.org.

Footnotes

  1. Costs” Medicare.gov. Accessed Nov. 19, 2025 
  2. Preventive & screening services” Medicare.gov. Accessed Nov. 19, 2025 
  3. Compare Medigap Plan Benefits” Medicare.gov. Accessed Nov. 19, 2025 
  4. A Snapshot of Sources of Coverage Among Medicare Beneficiaries” KFF.org. Sep. 23, 2024