costs of medicare

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Medicare Costs

At Malhotra & Assoc. Insurance, we’re a devoted team of experts ready to help you find the coverage you need and understand all the options available to you. And, with understanding coverage also comes understanding the costs that you may face. That’s why we’re here to help.

Medicare is a federal insurance program made for people 65 and older. Some younger people may qualify if they have any disabilities or End-Stage Renal disease. Don’t get Medicare confused with Medicaid. Medicaid is a state and federal program that provides health coverage if you have a low income and limited resources.

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Common Medicare Insurance Terms


An amount you may have to pay as your portion of the cost for services after you pay deductibles. It’s typically a percentage, like 20%.  


An amount you may have to pay as your portion of the cost for a health service or supply, such as a hospital outpatient visit, a doctor’s visit, or a prescription drug.


The amount you have to pay for health care or prescriptions before traditional Medicare, your Part D plan, or your other insurance starts to pay. 


The repeated payment to Medicare, an insurance carrier, or a health care plan for medical services or prescription drug coverage.

What is Medicare?

Medicare is a United States federal government health insurance program. Younger people that may have specific eligibility and individuals with certain diseases can also get medicare. Medicare is divided into four different categories, There’s Medicare Part A, Part B, Part C, and Part D. Below is an overview of what each part costs.

Part A Costs

Medicare Part A pays for care at a hospital, nursing facility, or nursing home, and for home health services. Most people receive Part A for free because they’ve paid the Medicare payroll tax through years of working. If you haven’t started collecting Social Security at age 65, you’ll have to enroll by phone, online, or at a Social Security office. Medicare Part A doesn’t cover all services. 

While Part A can be available premium-free, no other part is. If you purchase Part A, the monthly premium you’ll pay will range between $259 to $471, as of 2021. The Part A deductible you pay is $1,484 for each benefit period. 

Part B Costs

Medicare Part B covers ambulance services, doctor visits, lab tests, and durable medical equipment. Those who sign up for Part B, pay monthly premiums. Part B also requires a deductible and coinsurance.

The cost for the Part B premium is $148.50 (or higher depending on your income). The cost for the yearly Part B deductible is $203. After your yearly deductible is met, you typically pay 20% of the Medicare-Approved amount for most doctor services.

Part C Costs

Medicare part C, also known as Medicare Advantage, is offered to people ages 65 or older and disabled adults who qualify. Coverage is the same as Part A hospital, Part B medical coverage, and, usually Part D prescription drug coverage, with the exception of hospice care. Companies receive a fixed amount each month for Plan C and may charge out-of-pocket costs to policyholders.

Part D Costs

Medicare Part D is a part of the overall Medicare program which provides enhanced prescription drug coverage. People who decide to enroll in the program must purchase their insurance from registered private providers. Those who already receive prescription drug coverage from another source may be better off keeping their current coverage rather than opting into Medicare Part D.

Call an agent at Malhotra & Assoc. Insurance to learn more about Medicare costs.

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