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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.

How much do you pay each month for Medicare premiums?

monthly Medicare premiums

More than 63 million Americans are enrolled in Medicare. And although the program is run by the federal government and follows uniform rules nationwide (plus some state-specific rules for Medigap plans), the amount that people pay each month for their coverage is a bit like airline seating prices … meaning that you might be paying a lot more (or a lot less) than your neighbor.

Medicare Part A is premium-free for most enrollees, while Medicare Part B has a premium for everyone. But some beneficiaries with limited financial resources are eligible for Medicare Savings Programs that help to cover the cost of Part B, and some Medicare Advantage plans offer “giveback” rebates that cover a portion of the enrollee’s Part B premium.

Medigap plans vary in price based on the plan level, the insurer, and the state. Part D prescription drug plans have a monthly premium if purchased on their own, although the Extra Help program will cover some or all of this cost for eligible enrollees. And some Medicare Advantage plans have no premium at all (other than the cost of Part B), even though they include Part D coverage.

Some Medicare beneficiaries don’t have to buy Medicare-specific supplemental coverage, because they have a plan from a current or former employer. But the premiums for these plans also vary considerably.

Premiums you might be paying

In this edition of our Medicare survey, we’re curious to find out how much our readers are paying in premiums each month. When you answer the question, remember that premiums include:

If you’re eligible for Extra Help, a Medicare Savings Program, or a Medicare Advantage giveback rebate, that program will reduce the total amount you’re paying. But if your income is high enough to make you subject to an IRMAA, you’re paying an extra surcharge on your Part D and Part B coverage.

Either way, we’d love to get a sense of how much our readers are spending each month in total premiums.

We hope you’ll take a few seconds to pick the answer that best represents the amount you pay each month. And if you have additional feedback or thoughts, please include them in the comments section below.