Medicare Part B is a vital part of healthcare, providing essential medical services to older and eligible Americans. It covers doctor visits, outpatient care, home health services, and some preventive services. Each year, the Centers for Medicare & Medicaid Services (CMS) revises Part B premiums and deductibles based on its projections and the rising cost of healthcare and inflation.
For 2026, beneficiaries can expect a slight increase in monthly premiums. However, the final premiums and deductibles will be officially announced in Fall 2025. This change will affect everyone who is covered by Original Medicare or some Medicare Advantage coverage.
Projected Monthly Premiums for 2026
The standard Medicare Part B premium was $179.80 per month in 2025. According to preliminary estimates, it could increase to approximately $186–$190 per month in 2026. This increase will ultimately depend on healthcare cost data.
Beneficiaries with higher incomes may have to pay higher premiums under the Income-Related Monthly Adjustment Amount (IRMAA). The estimated premium brackets are as follows:
| Income (Single) | Income (Filing Together) | Projected Monthly Premium (2026) |
|---|---|---|
| $103,000 or less | $206,000 or less | $186–$190 (Standard Rate) |
| $103,001–$129,000 | $206,001–$258,000 | $264+ |
| $129,001–$161,000 | $258,001–$322,000 | $330+ |
| Over $161,000 | Over $322,000 | $395+ or more |
CMS will release final figures by October 2025.
Changes in Annual Deductible
The Part B annual deductible was $240 in 2025. It is expected to increase to approximately $250–$255 in 2026. This deductible is the amount you must pay for outpatient services before Medicare coverage begins.
After meeting the deductible, you’ll typically pay 20% of the Medicare-approved amount for services. This is important to understand because it directly impacts your healthcare costs.
How Premiums Are Deducted
If you receive Social Security, Railroad Retirement, or OPM benefits, your Part B premium is automatically deducted from your monthly check. If you don’t receive any of these benefits, you’ll receive a bill every three months.
This deduction happens naturally for most people, but if the premium increase exceeds your COLA (Cost-of-Living Adjustment), it may impact your Social Security benefit.
Tips for Controlling Expenses
Some options are available to avoid or reduce costs due to changes in Medicare premiums and deductibles:
- Compare Medicare Advantage plans: Some plans may offer lower premiums and additional benefits.
- Take advantage of Medicare Savings Programs: If your income is limited, these programs can help pay Part B premiums.
- Evaluate the annual Medicare Plan Finder: Reviewing your options each fall is one way to ensure the best premiums and coverage.
Final Thoughts
Medicare Part B premiums and deductibles are updated annually, and they significantly impact your budget and healthcare expenses. A slight increase is expected in 2026, but choosing the right plan and options can help you manage your expenses.
Balancing health coverage and financial security can be challenging, but if you plan ahead and take full advantage of the resources available, Medicare Part B can be a helpful and reliable option for you.
FAQs
Q1. What is Medicare Part B?
Medicare Part B covers essential medical services such as doctor visits, outpatient care, home health services, and certain preventive services.
Q2. How much will the 2026 Part B premium be?
The standard monthly premium is expected to be between $186 and $190, with higher-income beneficiaries paying more.
Q3. What is the Part B annual deductible for 2026?
The annual deductible is estimated to rise to $250–$255, which must be paid before Medicare covers most outpatient services.
Q4. How are premiums paid?
If you receive Social Security, Railroad Retirement, or OPM benefits, premiums are automatically deducted from your monthly payments; otherwise, you’ll get a quarterly bill.
Q5. How can I reduce my Part B costs?
You can compare Medicare Advantage plans, explore Medicare Savings Programs, and review your Medicare Plan Finder annually to find lower-cost options.