Health care can get expensive, and Medicare is no exception. Each year, the Centers for Medicare and Medicaid Services adjusts the costs that Medicare recipients must pay in the form of premiums, deductibles, and coinsurance. Because of that, it’s essential that Medicare beneficiaries know what their out-of-pocket expenses will be. Knowing what you expect to pay for Medicare in 2022 will help you get the most out of your Medicare coverage.
Medicare Part A
Medicare Part A covers inpatient hospitals, skilled nursing facilities, hospice, and inpatient rehabilitation care, as well as some home healthcare services. Roughly 99% of Medicare beneficiaries don't have to pay a premium for Part A coverage because they meet the employment requirement which is 40 quarters.
For those who don't meet that 40 quarter requirement and find themselves having to pay for Part A, here's what to expect:
Individuals who are age 65 or older and have at least 30 quarters of coverage, or are married to someone with at least 30 quarters of coverage may buy into Part A at a reduced monthly premium of $274 in 2022.
Certain older individuals who have less than 30 quarters of coverage and certain individuals with disabilities who have exhausted other entitlement must pay the full premium of $499 a month in 2022.
Additionally, Part A deductibles and coinsurance (supplemental insurance plans help avoid these altogether) will be higher than in 2021, as the following table indicates:
Part A Deductibles and Coinsurance for 2021 vs. 2022
Inpatient hospital deductible
Daily coinsurance for the 61st to 90th day
Daily coinsurance for lifetime reserve days
Skilled nursing facility coinsurance
Medicare Part B
Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services that aren't covered by Medicare Part A.
The standard monthly premium for Medicare Part B will be $170.10 in 2022. The annual deductible will be $233. After meeting the annual deductible, Part B recipients typically pay coinsurance equal to 20% of the Medicare-approved amount for most services (supplemental insurance plans help avoid these altogether).
While many Part B recipients pay the standard monthly premium of $170.10, those with higher incomes pay more. The following table shows premiums for 2022, based on modified adjusted gross income (MAGI) and tax-filing status.
Medicare Part B Monthly Premiums for 2022
Individual Tax Return
Joint Tax Return
$0 - $91,000
$0 - $182,000
$91,001 - $114,000
$182,001 - $228,000
$114,001 - $142,000
$228,001 - $284,000
$142,001 - $170,000
$284,001 - $340,000
$170,001 - $499,999
$340,001 - $749,999
$500,000 or more
$750,000 or more
Medicare Part D
Medicare Part D provides coverage for prescription medications, most beneficiaries pay nothing for Part D other than their plan premium. In 2022, the Centers for Medicare & Medicaid Services announced changes to the income-related monthly adjustments that will affect about 8% of enrollees. (The premiums themselves will vary from plan to plan.)
Medicare Part D Income-Related Monthly Adjustment Amounts