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Can I Pay for Medicare Monthly?

As with all things Medicare, the answer is “it depends.” There are several scenarios that we need to cover to give you the right information.

Original Medicare Beneficiaries

If you have only original Medicare and enrolled during your normal enrollment period and have at least 40 quarters of covered employment, you pay nothing for Medicare Part A (hospital coverage) and, in 2019, $135.50 for Part B.

The Part B premium is deducted from your Social Security check if you receive one. If you do not receive Social Security, either because you have not enrolled or are not eligible, you are billed for the Medicare 2019 B premium monthly, and you have to pay it monthly.

Can I Buy Part A? What About Part B?

If you were not eligible for Part A based on employment, you can still buy it if:

  • You paid Medicare taxes for less than 30 quarters; the monthly premium is $437 in 2019.
  • You worked 30-39 quarters; it is $240 in 2019.

As you will not be eligible for Social Security in this scenario, you will pay the Part A premium monthly. In the vast majority of cases, you will be required to buy Part B also.

  • The monthly premium is $135.50 in 2019.
  • The total cost per month for both Parts A and B is between $375.50 and $572.50 in 2019.
  • Annual costs range from $4,506 to $6,870, depending on the number of quarters you worked. This, of course, is billed monthly.

What About Part C?

If you have Medicare Parts A and B, regardless of whether you are paying for Medicare Part A (everyone pays for Medicare Part B), you are eligible for Part C.

Part C is for Medicare Advantage plans. These plans replace parts A and B, and D, and usually offer more benefits. They also have an out-of-pocket limit, which varies by plan, which Medicare Parts A and B do not have.

Everyone pays for Part C monthly; the premium (if any) is not deducted from your Social Security check. Some Part C plans have no premium. Please note that those who are on Medicare due to end-stage renal disease (ESRD) are not eligible for Part C. You can consult Medicare 2019 to speak with an expert about your individual situation, and see what plans are available to you.

What About Part D? What’s the Bottom Line?

Everyone who has worked at least 30 quarters is eligible for Part A, B, C, and D. Whether there is a monthly premium for Part A depends on whether you worked 40 quarters or more. Parts B, C, and D always have a premium, which is paid monthly. Only Part B premiums are deducted from your Social Security checks. All other premiums are paid monthly.

Regardless of which combinations of Parts A, B, C, and D you choose, it is important to have qualified advice. You can find it at and by calling 1-844-236-0228. Remember that if you have a chronic condition or high medical expenses, the out-of-pocket limits in Part C plans may be a lifesaver.