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What is the Medicare Part B Premium for 2021


The standard Part B premium amount is $148.50 for 2021. For those who fall in a higher income bracket, you could pay as much as $504.90 a month for Part B. Below, we’ll go over the standard Part B premium, the premium surcharge, how to pay your premium, and how to get help paying the monthly premium if you’re lower income.

Medicare Part B Premium in 2021

The 2021 Part B premium amount is $148.50. However, those with a modified adjusted gross income above a certain amount will pay an Income Related Monthly Adjustment Amount.

Medicare Income Related Monthly Adjustment Amount

Part B premium surcharges for higher-income beneficiaries only impact individuals with an income of more than $88,000. For couples with an income above $176,000, you’ll notice a Part B premium surcharge.

What is the Hold Harmless Provision for Medicare?

If you’re protected by the hold-harmless provision, your premium won’t increase if the cost of living adjustment amount isn’t enough to cover the premium increase. The premium increase instead becomes the same as your Social Security benefits increase.

Hold Harmless won’t apply to you if:

For those subjected to the Part B late enrollment penalty, your penalty will increase since the penalty is calculated based on the current premium.

How Do I Pay My Medicare Part B Premium?

If you receive benefits from Social Security, Railroad Retirement Board, or the Office of Personnel Management, then your premium for Part B is automatically deducted before benefits are deposited.

How Do I Pay My Medicare Part B Premium if I’m Not on Social Security?

If you’re not collecting Social Security benefits, you’ll receive a bill for your Part B premium. This bill is called a “Medicare Premium Bill”. You can also select to have the Part B premium deducted from an annuity. You can pay directly from a bank account by utilizing your online bill payment service. If you aren’t comfortable with that you can pay by check, money order, credit as well as a debit card.

You can do this by simply sending the payment to:

Medicare Premium Collection Center

PO Box 790355

St.Louis, MO 63179-0355

If the credit or debit card you use only has month and year, leave the day field blank on the payment coupon.

You must submit payments with the form filled out on the bottom. When the bottom portion is incomplete, payment may not be processed.

Be sure to sign the payment form before submitting it to the address above.

Can I Get Help Paying My Medicare Part B Premium?

For those with limited incomes or resources, you could qualify for Extra Help from your state. Extra Help will help in paying for Part B and/or Part A premiums.

Does the Medicare Part B Premium Change Every Year Based on Income?

Medicare premiums are calculated based on MAGI, which is your modified adjusted gross income. If your MAGI from two years prior is under $88,000, or under $176,000 for a couple, then you’ll only have to pay the standard Part B premium of $148.50. If you’re a higher-income earner, you’ll see an increase between $57-$347 per month depending on which income bracket you fall under.

Does Everyone Pay the Same for Medicare Part B?

No, each beneficiary will have a Part B premium that’s based on their income. As long as you make less than $88,000 as an individual and less than $176,000 as a couple, you’ll pay the standard premium.

Do You Pay the Part B Premium with Medicare Advantage?

You must still pay your Part B premium, even when you enroll in a Medicare Advantage plan. When you see “zero-premium Medicare Advantage” plans, you’re still responsible for the monthly premium.

Who Qualifies for Free Medicare Part B?

Nobody qualifies for free Medicare Part B. The only part of Medicare that is free is Part A as long as you paid into it enough quarters.

What is the Standard Medicare Part B Premium for 2021?

The standard Part B premium for 2021 is $148.50.

What If Your Medicare Premium is Late?

Medicare will send you a second bill to remind you to pay the premium. If you avoid paying the premium by the due date of the second bill, a delinquent bill will be sent out. If you avoid paying the delinquent bill, you’ll lose Medicare coverage.

How to Get Help Paying Cost-Sharing Under Part B

There are many out of pocket costs left up to the beneficiary to pay when it comes to Part A & Part B. Supplemental Medicare plans help pay for out of pocket costs such as coinsurance, and deductibles. We can help you enroll in one that will help you pay for most, if not all, of your cost-sharing. Give us a call, or complete our rate comparison form to see what options are available in your area now.

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Lindsay Engle

Lindsay Engle is the Medicare expert for MedicareFAQ. She has been working in the Medicare industry since 2017. She is featured in many publications as well as writes regularly for other expert columns regarding Medicare. You can also find her over on our Medicare Channel on YouTube as well as contributing to our Medicare Community on Facebook.

10 thoughts on “What is the Medicare Part B Premium for 2021

  1. I am 64 and will turn 65 on March 4th of this year.Retired.I initially turned down Part B on Social Security offering because of the extra expense and the fact that I still carry my FEP Anthem Blue /Cross insurance. My wife does not turn 65 until March 17, 2019 so she is not eligible for B.
    If I change my mind on electing B coverage,can I still do that and begin having it deducted from my Social Security check?

    1. Yes, you would need to contact the Social Security Administration or your local Medicare/Social Security Office. They can only deduct from your Social Security if you are drawing Social Security. If you are just taking Medicare and not drawing Social Security, you will generally get a quarterly bill to pay the Part B Premium. Once you enroll in Medicare Part B, give us a call so we can get you enrolled in a Medigap plan to cover the out of pocket expenses Part A and Part B doesn’t cover!

  2. If I get reimbursed for medicare part b premiums through a company sponsored hra, can I still deduct them on my tax return?

  3. I received notice of increased Medicare Part B & D premiums due to income. I have VA drug coverage, am I able to opt out of Medicare Part D drug coverage?

    1. Hi Ralph! This is a great question. So yes, you’ll be able to opt-out of Part D without being penalized since Veteran benefits are considered creditable coverage under Part D. However, it is NOT considered creditable coverage under Part B. If you were to drop your Part B, you will incur a penalty for each year you went without coverage that will be applied to your premium if you ever decided to enroll back into Part B again. I would highly recommend you do not drop your Part B, but your Part D is fine to drop.

    1. Hi Maria! Are you referring to the Part B premium? Assuming you enrolled in Part B already, your premium is currently $135.50. Yes, your Part B premium will increase to $148.50 starting in 2021. If you delayed enrollment without creditable coverage, you could have a late enrollment penalty added on to your monthly premium. However, since you retired less than 12 months ago, you should not have any late penalty at this point. If you wait to enroll in Part B until April 2020 or after, you’ll start incurring that penalty.

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