Original Medicare. The federal government sets the premium, deductible and coinsurance amounts for parts A and B. For example, most people pay $170.10 a month for the Part B premium, and they’re generally responsible for a $233 yearly deductible and 20 percent of the cost of doctor visits, lab tests and other outpatient services.
Most people don’t have to pay a premium for Part A hospitalization. But they do have to pay a $1,556 deductible for each benefit period they use, which could amount to more than one period in a year if you face several hospitalizations, and a $389 daily copayment for days 61 to 90 in the hospital per benefit period.
The government also sets maximum deductibles for the Part D prescription drug program. In 2022, Part D deductibles can’t be greater than $480, but plans can have lower or no deductibles. The premiums and cost sharing vary by plan.
Many people who elect original Medicare also purchase a Medigap supplemental policy to help defray many out-of-pocket costs, such as deductibles and coinsurance. Private insurers sell these policies, and the premiums vary.