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Different Parts of Medicare: Welcome

THE DIFFERENT PARTS OF MEDICARE

The FOUR Parts of Medicare 

Part A

$0 Premium if you or your spouse paid Medicare taxes long enough while working - generally at least 10 years, or 40 quarters. 

Inpatient/Hospital-

          You pay:   $1632 Deductible Days 1-60

                            ($1676 in 2025)

   Days 61-90:  $408 per Day  ($419 in 2025)

  Days 91-150:  $816 per Day ($838 in 2025)

 After day 150:  You pay all costs.

Inpatient Rehab/Skilled Nursing-

  Days 1-20:   $0

        21-100:   $204 per Day ($209.50 in 2025)

  Days 101 and beyond: You pay all costs.              

Part C

$0-$150 ($0-$247 in 2025)per month Premium Options

Medicare Advantage All In One HMO, PPO, PFFS

Forfeit Rights to Medicare

Networks

Max Out of Pocket from $2999-$14,000 (varies as it depends on the plan)

Most plans have Drug coverage

Some plans have gym options, dental, vision and other products.

*We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Part B

$174.70 per month Premium ($185 in 2025) 

Outpatient/Does Not require overnight stay

              You pay:  $240 Deductible per year

                                ($257 in 2025)

   Medicare pays:  80% of costs

              You pay:  20% of costs

   No Networks

Part D

*$0.50-$150 per month Premium

a/k/a Prescription Drug Coverage

$545 yearly Deductible (may be waived for some medications) ($590 in 2025)

Pharmacy options: 

Preferred & Standard (in & out of network)

Initial Phase:  $5030 

Coverage Gap/Donut Hole:  $8000

You pay:  25%

NEW FOR 2025​

Starting in 2025, all Medicare plans will include a $2,000 cap on what you pay out-of-pocket for prescription drugs **covered by your plan. If your out-of-pocket spending on covered drugs reaches $2,000 (including certain payments made on your behalf, like through the Extra Help program), you’ll automatically get “catastrophic coverage.” That means you won’t have to pay out-of-pocket for covered Part D drugs for the rest of the calendar year. 

Plan G will cover all of Part A & Part B except for the Part B Deductible. You may have A, B, D & a Supplement OR A, B & C.

  *Some pay more based on income (IRMAA) click HERE for more.

**Prescriptions that are not covered by your plan do not count towards the deductible.

Different Parts of Medicare: News

TRADITIONAL MEDICARE

Questions?

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Different Parts of Medicare: Contact
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