2018 Medicare Rates

The following is a listing of the Medicare premium, deductible, and coinsurance rates that will be in effect in 2018:

Medicare Premiums for 2018:

Part A: (Hospital Insurance) Premium

Most people don’t pay a Part A premium because they paid Medicare taxes while working.

For the few who do pay a premium:

  • Those with 30 to 40 hours of coverage will pay $232 a month in 2018
  • Those with fewer than 30 hours will pay $422 a month in 2018

Part B: (Doctor/Outpatient Insurance) Premium

Because there was no cost-of-living adjustment (COLA) increase in 2016 and only a 0.3% COLA in 2017, a statutory provision called the “hold harmless” rule prevented many people from paying annual increases in the Part B premium. (The hold harmless rule ensures that Social Security checks will not decline from one year to the next because of increases in Part B premiums.)

The standard Medicare Part B premium will remain unchanged at $134 in 2018. However, for Part B enrollees who had been paying a lower monthly premium because of the hold harmless rule, their monthly cost will jump in 2018 by as much as $25, from the average of $109 in 2017 — but the premium increase will be offset by an increase in their Social Security benefits next year. The Social Security Administration issued a 2% COLA increase in Social Security benefits for 2018.

Those who will pay the standard premium amount ($134) or higher include: beneficiaries who do not receive Social Security benefits, those who enroll in Part B for the first time in 2018, those who are directly billed for their Part B premium, those who are dually eligible for Medicaid and have their premium paid by state Medicaid agencies, and those who pay an income-related premium.

Beneficiaries with higher incomes pay higher Part B monthly premiums. To see what you will pay, click here and scroll down to the 2018 chart.

Medicare Deductible and Coinsurance Amounts for 2018:

Part A Deductibles: (pays for inpatient hospital, skilled nursing facility, and some home health care) For each benefit period Medicare pays all covered costs except the Medicare Part A deductible (2018 = $1340) during the first 60 days and coinsurance amounts for hospital stays that last beyond 60 days and no more than 150 days.

For each benefit period you pay:

  • A total of $1,340 for a hospital stay of 1-60 days.
  • $335 per day for days 61-90 of a hospital stay.
  • $670 per day for days 91-150 of a hospital stay (Lifetime Reserve Days).
  • All costs for each day beyond 150 days

Skilled Nursing Facility Coinsurance

  • $167.50 per day for days 21 through 100 each benefit period.

Part B Deductible: (covers Medicare eligible physician services, outpatient hospital services, certain home health services, durable medical equipment)

  • $183 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the deductible.)