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Medicare Information

Here is a brief overview of the different parts of Medicare health insurance. We will assist you, step-by-step, through the education and enrollment process. 

Original Medicare, or Medicare Part A & Part B is sometimes called “Traditional Medicare” or “fee for service” Medicare.

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Original Medicare covers doctor, hospital, skilled nursing facility or outpatient treatment clinic treatment if Medicare assignments are accepted.

 

Original Medicare is made up of 2 parts, Part A & Part B:

 

Part A – Inpatient Care (hospital insurance) pays for hospital care and some of the costs for a stay in skilled nursing facilities and healthcare at home. Medicare Part A covers hospice care for those who are terminally ill.

 

Part B – Outpatient Care (medical insurance). Part B pays for doctors’ services like primary care, specialists screenings and lab test, outpatient hospital care, which is not covered by Part A.

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Part C - Medicare Advantage Plans are private health insurance plans, contracted with Medicare, to provide hospital, medical, in most cases prescription drug coverage and possibly other ancillary benefits like routine vision, dental, etc. 

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Part D - Prescription Drug Coverage is available via private insurance, either as a stand-alone plan or within a Medicare Advantage plan. Prescription drugs are drugs that are self-administered.

2026  Medicare Premiums

2026 Original Medicare Costs:

​Medicare Part B Premium and Deductible


Medicare Part B covers physicians’ services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A. 
Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act.

 

The standard monthly premium for Medicare Part B enrollees will be $202.90 for 2026.

 

The annual deductible for all Medicare Part B beneficiaries will be $283 in 2026.

Medicare Part B & Part D IRMAA (Income-Related Monthly Adjustment Amount) 


Since 2007, a beneficiary's Part B & Part D monthly premium has been based on his/her income. These income-related monthly adjustment amounts affect roughly about 8% of people with Medicare Part B & Part D.

The income determination is a 2-year look-back at your AGI from your taxes.

In 2026, you would look at your 2024 AGI to determine if you will pay an increased amount for your Part B and Part D.
The 2026 Part B & D total premiums for high-income beneficiaries with full Part B & D coverage are shown in the following table:

Enrolling in Medicare online:

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If you are already receiving Social Security Benefits, PRIOR to turning age 65, you will be automatically enrolled in Medicare Part A and Part B. 

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TURNING 65 & Enrolling in Part A only:

  • If you are turning 65, but you are working beyond age 65, and you have confirmed that your employer has ‘creditable’ insurance coverage, you can continue working         and delay taking your Part B medical insurance. If you are NOT contributing to an HSA (Health Savings Account) *,                                                                                          please enroll in Part A Hospital, online, at www.SSA.gov.

 

*If you are contributing to an HSA, you must stop making contributions for at least 6 months or more, prior to enrolling in of Medicare.                                                                             Failing to do so could result in a tax penalty with the IRS.

 

  • If you haven’t already, you will need to create an online account at www.SSA.gov. You will need an email address, a cell phone number to receive text message              confirmation codes, if using a smart phone, you will need to upload a photo of your ID. For those unable to confirm ID, you may need to go to the local Post Office                 to confirm identification and receive an authorization code.

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TURNING 65 AND ENROLLING IN PART A & PART B OF MEDICARE:

  • If you are turning 65, not drawing Social Security payments and ready to enroll in BOTH Part A (Hospital) AND Part B (Medical),                                                                         you must enroll online with www.SSA.gov. You can enroll up to 90 days prior to your 65th birthday.

  • You have a 7-month window to enroll during the Initial Enrollment Period. After the first of your 65th birthday month, your enrollment start date                                                   is automatically the first of the following month, through the end of your Initial Enrollment Period.

  • Follow the same instructions above for creating a Social Security account, and when prompted if you are enrolling in Part A AND Part B, click yes.  â€‹

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Instructions for enrolling in Hospital Part A only, or Part A and Part B Medical:

  1. Go to SSA.gov

  2. On the main page, on the top center, CLICK ON THE MEDICARE drop down, and select SIGN UP FOR MEDICARE.

  3. Under Sign up for Medicare, click on Apply Online (It will say for enrolling in Part A only OR Part A & Part B)

  4. Click the “I understand Terms” and click next

  5. Under Apply & Complete, click on “Start a New Application”

  6. Click on “I am applying for myself”

  7. Answer yes or no if you have a My Social Security Account online – depending on the answer, click on the appropriate response and follow the prompts.                                   (If you do not have an online account, you will click on the Create Account blue link, above the Login.gov box. If you already have an account, you will log in as normal.)

 

If you are enrolling in Part A only, you will decline Part B while you are still covered under your employer plan! The system will ask you to report your                                    employer information/ insurance information. WRITE DOWN AND SAVE YOUR USERNAME AND PASSWORD!

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