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What You’ll Pay in Out-of-Pocket Medicare Costs in 2026

2026 premiums and out-of-pocket costs for Original Medicare, Medicare Advantage, Medigap and Medicare Part D

Medicare Plan2026 Medicare Out-of-Pocket Costs
Part A (Hospital Insurance)

Premium: $0 for most people; otherwise $311 or $565/mo.

Deductible: $1,736 for each inpatient hospital benefit period

Coinsurance: Varies with location and length of stay. For a hospital stay:

  • Days 1-60: $0
  • Days 61-90: $434 per day
  • Days 91-150*: $868 per day
  • Out-of-pocket maximum: None
  • Skilled nursing facility daily coinsurance (days 21-100): $217

*These are called “lifetime reserve days” because Medicare will only pay for these extra days once in your lifetime.

Part B (Medical Insurance)

Premium: $202.90/mo. or higher, depending on income

Deductible: $283 annually

Coinsurance: 20% of service costs; deductible must be met first

Out-of-pocket maximum: None

Preventive benefits: There are some preventive services under Part B that Medicare covers at 100%.

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