Q: How much does Medicare Part B cost the insured?
A: In 2018, most people earning no more than $85,000 ($170,000 for a married couple) pay about $130/month for Part B and the premiums is deducted from your Social Security check in most cases. The standard premium is actually $134/month, but the cost of living adjustment for Social Security wasn’t quite large enough to cover all of the increase from 2017’s premium for most enrollees, which is why most people are paying about $130/month. But some enrollees are paying $134/month instead.The people paying $134/month include people who are new to Medicare in 2018, as well as those who were new to Medicare in 2017, when the standard premium was also $134/month. In addition, people who aren’t receiving Social Security checks are subject to the $134/month premium. This includes people who will eventually receive Social Security but simply have not started receiving it yet, as well as those who paid into a different retirement system and will never receive Social Security.
People who earn more than $85,000 ($170,000 for a couple) pay higher Part B premiums based on their income, with premiums that range from $187.50/month to $428.60/month.
Medicare B also has a deductible, which is $183 in 2018.