2026 Medicare Costs Explained: Part A, Part B & Part D Premiums, Deductibles, and IRMAA Updates
- Monica Ross-Williams; MBA; LIA
- Nov 14, 2025
- 3 min read
Every year CMS updates the cost-sharing amounts for the corresponding year ahead with Medicare associated premiums and deductibles.
On November 14, 2025, CMS released the Official Medicare premiums and deductibles 2026 —later than in previous years—and there are some meaningful increases beneficiaries should be aware of.
At MRW Solutions Group, our goal is to break these updates down in a way that feels clear, practical, and easy to apply as you prepare for the year ahead.
Part A—which covers inpatient hospital stays, skilled nursing facilities, hospice, and some home health services—will see several cost increases. The inpatient hospital deductible rises to $1,736, with higher daily coinsurance for longer hospital stays and skilled nursing facility care. Most beneficiaries still pay no Part A premium, but those with fewer than 40 work quarters will see the voluntary premium increase to $311 (reduced) or $565 (full). These shifts matter for anyone managing chronic conditions, planning a procedure, or simply budgeting for healthcare in 2026.
Part B—covering outpatient care, doctor visits, diagnostics, and medical equipment—will move to a $202.90 monthly premium with a $283 annual deductible. Higher-income beneficiaries will continue to see additional IRMAA charges based on tax-year income. For individuals maintaining Part B solely for immunosuppressive transplant medications, the 2026 premium rises to $121.60. These adjustments reflect ongoing utilization trends but can still impact out-of-pocket costs in a real way.
Part D IRMAA amounts are also increasing for 2026. These surcharges apply no matter the drug plan selected and are paid directly to Medicare. For clients who fall within higher income brackets, this can influence which prescription drug strategy makes the most financial sense.
As always, MRW Solutions Group is here to walk you through your options and help ensure your health plan remains aligned with your needs and budget.
Summary Table: Key 2025 vs. 2026 Cost Changes - with Medicare premiums and deductibles 2026
Medicare Part A Cost Changes
Part A Cost Component | 2025 Amount | 2026 Amount | Difference |
Inpatient Hospital Deductible | $1,676 | $1,736 | +$60 |
Coinsurance (Days 61–90) | $419/day | $434/day | +$15/day |
Lifetime Reserve Days | $838/day | $868/day | +$30/day |
Skilled Nursing Facility (Days 21–100) | $209.50/day | $217/day | +$7.50/day |
Reduced Part A Premium (30–39 quarters) | $285 | $311 | +$26 |
Full Part A Premium (<30 quarters) | $518 | $565 | +$47 |
Medicare Part B Cost Changes
Part B Cost Component | 2025 Amount | 2026 Amount | Difference |
Standard Monthly Premium | $185.00 | $202.90 | +$17.90 |
Annual Deductible | $257 | $283 | +$26 |
Immunosuppressive Drug-Only Premium | $113.00 | $121.60 | +$8.60 |
2026 IRMAA — Full Part B Coverage
Individual MAGI | Joint MAGI | IRMAA Add-On | Total Monthly Premium |
≤ $109,000 | ≤ $218,000 | $0 | $202.90 |
$109,001–$137,000 | $218,001–$274,000 | $81.20 | $284.10 |
$137,001–$171,000 | $274,001–$342,000 | $202.90 | $405.80 |
$171,001–$205,000 | $342,001–$410,000 | $324.60 | $527.50 |
$205,001–$500,000 | $410,001–$750,000 | $446.30 | $649.20 |
≥ $500,000 | ≥ $750,000 | $487.00 | $689.90 |
2026 IRMAA — Immunosuppressive Drug-Only Part B Coverage
Individual MAGI | Joint MAGI | IRMAA Add-On | Total Monthly Premium |
≤ $109,000 | ≤ $218,000 | $0 | $121.60 |
$109,001–$137,000 | $218,001–$274,000 | $81.10 | $202.70 |
$137,001–$171,000 | $274,001–$342,000 | $202.70 | $324.30 |
$171,001–$205,000 | $342,001–$410,000 | $324.30 | $445.90 |
$205,001–$500,000 | $410,001–$750,000 | $445.90 | $567.50 |
≥ $500,000 | ≥ $750,000 | $486.50 | $608.10 |
Final Note
CMS released these 2026 numbers later than usual, which means beneficiaries have less time than in past years to review the details and understand how these changes impact their health budgets. This makes timely guidance even more important.
If you need help reviewing your Medicare Advantage, Supplement, or Part D options—or simply want a clear explanation of how these new costs affect you—MRW Solutions Group is here to support you with local expertise, year-round service, and personalized guidance. Visit our Book Online, Contact Us Now or call 866-630-6338 to schedule your one-on-one Medicare Review, Medicare Education, general questions on Life, Health and Annunity productts. or simply want a clearer breakdown of how these updates fit into your personal situation—MRW Solutions Group is here to support you. Our team offers local expertise, year-round service, and a commitment to making insurance simple to understand. With an A+ Accredited Rating from the Better Business Bureau, you can feel confident you’re working with a trusted community partner dedicated to your wellbeing.
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