Medicare Part B (Medical Insurance)
| Item | 2026 Amount |
|---|---|
| Standard monthly premium | $202.90 (up from $185.00 in 2025) |
| Annual deductible | $283 |
| Coinsurance after deductible | 20% of the Medicare-approved amount, with no annual cap |
Medicare Part D (Prescription Drug Coverage)
| Item | 2026 Amount |
|---|---|
| National base beneficiary premium | $38.99/month |
| Late enrollment penalty | 1% of the national base premium per month without creditable drug coverage, added permanently |
IRMAA (Income-Related Monthly Adjustment Amount)
IRMAA is tiered — five income brackets in total, based on your tax return from two years prior. The entry threshold and top tier for 2026:
| Bracket | 2026 Income Threshold | Approx. Part B Premium |
|---|---|---|
| Entry tier | $109,000 individual / $218,000 joint | ~$284/month |
| Highest tier | Highest income bracket | ~$690/month |
Late Enrollment Penalties
- Part B: 10% added to your premium for every full 12-month period you were eligible but didn't enroll — permanent for as long as you have Part B.
- Part D: 1% of the national base premium per month without creditable drug coverage — also permanent, and recalculated each year as the base premium changes.
Medicare Advantage
- Annual out-of-pocket maximum: every plan must set an in-network ceiling on your yearly costs — the exact amount varies by plan and carrier.
ACA Marketplace
- Update: the temporary "no subsidy cliff" rule (capping premium contributions at 8.5% of income regardless of earnings) expired December 31, 2025, and was not renewed.
- For 2026 coverage, the traditional 400% Federal Poverty Level cutoff has returned — households above that threshold are generally not eligible for a premium tax credit unless Congress passes new legislation.
- Cost-Sharing Reductions (CSR) are available on Silver-level plans only, for households between 100% and 250% of the Federal Poverty Level.
- Example: a family of four earning up to roughly $128,600/year (about 400% FPL) may still qualify for premium assistance; confirm your household's exact eligibility on HealthCare.gov since figures update annually.
Medicare Supplement (Medigap) — Wyoming & Utah
- Plan G premiums for a 65-year-old nonsmoker typically range $110–$200/month in Wyoming, depending on carrier and county.
Visualized
The 2026 figures, in pictures
Every chart uses official government data, with its source and an accessible data table.
2026 Medicare costs at a glance
The published figures that shape your year
$202.90
Part B premium
standard, per month
$283
Part B deductible
per year
$1,736
Part A hospital deductible
per benefit period
$38.99
Part D base premium
national average, per month
$2,100
Part D drug out-of-pocket cap
new hard cap for the year
Varies
Medicare Advantage OOP max
every plan sets an in-network limit; the amount depends on the plan
Source: CMS, 2026 Medicare cost figures (Parts A, B, D) and Medicare Advantage out-of-pocket maximum.
For education only — amounts change annually; confirm current figures before making a decision.
Part B monthly premium, 2016–2026
Standard monthly Medicare Part B premium
| Year | Premium/mo |
|---|---|
| 2016 | $121.80 |
| 2017 | $134.00 |
| 2018 | $134.00 |
| 2019 | $135.50 |
| 2020 | $144.60 |
| 2021 | $148.50 |
| 2022 | $170.10 |
| 2023 | $164.90 |
| 2024 | $174.70 |
| 2025 | $185.00 |
| 2026 | $202.90 |
Source: CMS — annual Medicare Parts A & B Premiums and Deductibles fact sheets (2016–2026).
For education only — amounts change annually; confirm current figures before making a decision.
Part B annual deductible, 2016–2026
What you pay before Part B coverage kicks in
| Year | Deductible |
|---|---|
| 2016 | $166 |
| 2017 | $183 |
| 2018 | $183 |
| 2019 | $185 |
| 2020 | $198 |
| 2021 | $203 |
| 2022 | $233 |
| 2023 | $226 |
| 2024 | $240 |
| 2025 | $257 |
| 2026 | $283 |
Source: CMS — annual Medicare Parts A & B Premiums and Deductibles fact sheets (2016–2026).
For education only — amounts change annually; confirm current figures before making a decision.
Part B premium by income tier (IRMAA), 2026
Higher incomes add a surcharge on top of the $202.90 standard premium
| Tier | Single (MAGI) | Joint (MAGI) | Premium/mo |
|---|---|---|---|
| Standard | $109,000 or less | $218,000 or less | $202.90 |
| Tier 2 | $109k–$137k | $218k–$274k | $284.10 |
| Tier 3 | $137k–$171k | $274k–$342k | $405.90 |
| Tier 4 | $171k–$205k | $342k–$410k | $527.70 |
| Tier 5 | $205k–$500k | $410k–$750k | $649.50 |
| Top tier | $500,000 or more | $750,000 or more | $689.90 |
Source: CMS, 2026 Medicare Parts A & B Premiums & Deductibles; SSA IRMAA sliding scale. Based on 2024 MAGI.
For education only — amounts change annually; confirm current figures before making a decision.
The new Part D out-of-pocket cap
For the first time, your out-of-pocket drug spending has a hard annual limit
No annual cap
First-ever hard cap
Indexed for inflation
| Period | Annual cap |
|---|---|
| Through 2024 | No cap |
| 2025 | $2,000 |
| 2026 | $2,100 |
Source: CMS Part D Redesign program instructions (Inflation Reduction Act), 2025–2026.
For education only — amounts change annually; confirm current figures before making a decision.
Who caps your yearly spending?
Only Medicare Advantage and Medigap put a ceiling on your annual exposure
No limit
Original Medicare alone
No annual out-of-pocket cap — 20% coinsurance has no ceiling
Capped
Medicare Advantage
Every plan sets an annual in-network limit — the amount varies by plan and carrier
$283
Original Medicare + Medigap Plan G
Effectively just the 2026 Part B deductible
| Path | Annual out-of-pocket ceiling |
|---|---|
| Original Medicare alone | No limit — No annual out-of-pocket cap — 20% coinsurance has no ceiling |
| Medicare Advantage | Capped — Every plan sets an annual in-network limit — the amount varies by plan and carrier |
| Original Medicare + Medigap Plan G | $283 — Effectively just the 2026 Part B deductible |
Source: CMS: Medicare Advantage plans are required to set an annual in-network out-of-pocket maximum (the amount varies by plan); 2026 Part B deductible. Medigap Plan G covers Part A/B cost-sharing after the Part B deductible.
For education only — amounts change annually; confirm current figures before making a decision.
Medicare Advantage's share over time
Share of beneficiaries (with Parts A & B) enrolled in Medicare Advantage
| Year | Share |
|---|---|
| 2010 | 24% |
| 2016 | 31% |
| 2020 | 39% |
| 2024 | 54% |
| 2026 | 55% |
Source: KFF analysis of CMS Medicare Advantage enrollment data (share of beneficiaries with Parts A & B).
Key Takeaways
- The 2026 standard Part B premium is $202.90/month with a $283 annual deductible; Part B coinsurance has no annual cap on its own.
- IRMAA surcharges start at $109,000 (individual) / $218,000 (joint) income and are based on tax returns from two years prior.
- Medicare late enrollment penalties (Part B and Part D) are both permanent — timing your enrollment correctly matters enormously.
- The temporary ACA subsidy enhancement (no 400% FPL cliff, 8.5%-of-income cap) expired December 31, 2025 — the traditional subsidy cliff has returned for 2026 coverage unless Congress renews it.
These figures reflect 2026 published amounts and are provided for general education only — not a personalized quote. Some Medicare cost-sharing amounts (like Part A hospital deductibles and skilled nursing coinsurance) vary and change annually; confirm current figures at Medicare.gov or with a licensed advisor. Numbers update every year — bookmark this page, but always verify before making an enrollment decision.
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