You can pay your Medicare premiums several ways, depending on which Medicare part you’re paying and if you’re receiving Social Security benefits.
Typically, most people don’t pay premiums for Medicare Part A but do for Part B, which is $170.10 a month in 2022 ($164.90 in 2023). People with high incomes pay even more.
You’ll also have to pay premiums if you decide to buy extra policies from private insurers to help cover Medicare’s out-of-pocket costs. Private Part D prescription drug plans and Medicare supplement plans, also known as Medigap, have separate premiums. If you have coverage from a private Medicare Advantage plan instead of original Medicare, you may have extra premiums, too.
How do I pay premiums for Medicare Part A?
You typically won’t pay a premium for Medicare Part A if you or your spouse had Medicare taxes deducted from your pay for 10 years of work. In Medicare speak, that’s 40 quarters on the calendar, and they don’t have to be continuous.
If neither you nor your spouse worked that long, you can count on a premium payment every month. In 2022, if you or your spouse paid Medicare taxes for 30 to 39 quarters, you’ll pay $274 a month for Part A ($278 in 2023). If you or your spouse paid Medicare taxes for fewer than 30 quarters, you’ll pay $499 a month for Part A ($506 in 2023).
Medicare will bill you for any Part A premium you owe, and you have the option of paying electronically or by mail. Details are below.
How do I pay premiums for Medicare Part B?
If you receive Social Security benefits or Railroad Retirement Board (RRB) benefits — a program that began in the 1930s for the nation’s railroad workers and is still in effect — your Medicare Part B premium is automatically deducted from those benefits, and you won’t receive a bill.
If you aren’t receiving Social Security benefits yet, you’ll receive a quarterly bill from Medicare for your Part B premium. You have four ways to pay it:
1. Log into your online Medicare account and pay by credit card, debit card or electronic funds transfer from your checking or savings account.