While Centers for Medicare and Medicaid (CMS) have not officially released changes to Medicare premiums and deductibles for 2026, the projected numbers from the Medicare Trustees Report are below. We will update this post when final numbers are confirmed likely in November 2025.
Medicare Part B Premiums and IRMAA for 2026
Medicare Part B is essential for medical coverage, and its standard monthly premium in 2026 is $206.50, a little over $25 dollars more than the standard premium in 2025. However, if you reported more than $109,001 in modified adjusted gross income (MAGI) on your 2024 tax return (or $218,001 for joint filers), you will pay a higher premium. This added charge is known as the Income-Related Monthly Adjustment Amount (IRMAA). The Social Security Administration determines IRMAA based on your tax return, and if applicable, you will receive an IRMAA letter notifying you of the increased premium amount. The annual deductible for Part B beneficiaries is $288 in 2026, $31 more than in 2025.
View the table below for more of a breakdown on how income level affects Part B premiums next year.
Medicare Premiums 2026: Part B Premium Based on Income Level
| Modified adjusted gross income for individual filers: | Modified adjusted gross income for joint files | Total monthly premium amount |
|---|---|---|
| Less than or equal to $109,000 | Less than or equal to $218,000 | $206.50 |
| Greater than $109,000 and less than or equal to $137,000 | Greater than $218,000 and less than or equal to $274,000 | $289.10 |
| Greater than $137,000 and less than or equal to $171,000 | Greater than $274,000 and less than or equal to $342,000 | $413.00 |
| Greater than $171,000 and less than or equal to $205,000 | Greater than $342,000 and less than or equal to $410,000 | $540.90 |
| Greater than $205,000 and less than $500,000 | Greater than $410,000 and less than $750,000 | $660.80 |
| Greater than or equal to $500,000 | Greater than or equal to $750,000 | $702.10 |
Note: These are projections from the Medicare Trustees Report. Updated information on Part B premiums is released in November, around Open Enrollment Period.
Medicare Part D premiums and income adjustment amounts in 2026
Part D monthly premiums are dependent on the plan and set by the insurance provider or carrier. However, beneficiaries who reported income more than $109,000 for single filers and more than $218,000 for joint filers pay an additional adjustment amount.
Medicare Premiums 2026: Part D Premium Based on Income Level
| File Individual Tax Return | File Joint Tax Return | Monthly 2026 Part D Premium |
|---|---|---|
| Less than or equal to $109,000 | Less than or equal to $218,000 | Your Plan Premium |
| Greater than $109,000 and less than or equal to $137,000 | Greater than $218,000 and less than or equal to $274,000 | $14.50 + Your Plan Premium |
| Greater than $137,000 and less than or equal to $171,000 | Greater than $274,000 and less than or equal to $342,000 | $37.50 + Your Plan Premium |
| Greater than $171,000 and less than or equal to $205,000 | Greater than $342,000 and less than or equal to $410,000 | $60.40+ Your Plan Premium |
| Greater than $205,000 and less than $500,000 | Greater than $410,000 and less than $750,000 | $78.60 + Your Plan Premium |
| $500,000 or above | $750,000 or above | $85.80 + Your Plan Premium |
Note: These are projections from the Medicare Trustees Report. Updated information on Part D premiums released in November, around Open Enrollment Period.
Medicare Part A deductible and coinsurance changes in 2026
Medicare Part A covers stays at hospitals, skilled nursing facilities, hospices, inpatient rehabilitation facilities, and some home health care services. Almost all Medicare Part A beneficiaries do not pay a monthly premium, but for those who do pay a premium, the Medicare Part A premium in 2026 may be $310/month or $563/month. And those services are subject to a deductible and coinsurance. In 2026, if a beneficiary stays at a hospital 1-60 days, the deductible is set at $1,716 ($40 more than in 2025). If the inpatient stay is longer than 60 days, the beneficiary must pay a daily coinsurance of $429 from the 61st-90th day.
Medicare Part A Deductibles and Coinsurance Amounts 2026 vs. 2025
| 2025 | 2026 | |
|---|---|---|
| Inpatient hospital deductible | $1,676 | $1,716 |
| Daily hospital coinsurance for 61st-90th day | $419 | $429 |
| Daily hospital coinsurance for lifetime reserve days | $838 | $858 |
| Skilled nursing facility daily coinsurance (days 21-100) | $209.50 | $214.50 |
Note: These are projections from the Medicare Trustees Report. Updated information on Part A deductibles and coinsurance is released in November, around Open Enrollment Period.
