2025 Medicare Cheat Sheet
IMPORTANT DATES
Open Enrollment Period
January 1 - March 31
You can make one change to your MEDICARE ADVANTAGE PLAN.
All Year
You can enroll in a MEDICARE SUPPLEMENT plan at any point in the year.
Annual Election Period
October 15 - December 7
You can enroll in
MEDICARE ADVANTAGE & PART D PLANS.
INITIAL ENROLLMENT PERIOD
Medicare will typically start on the 1st day of the month you turn 65.
This is your time to get a Medicare Supplement.
SPECIAL ELECTION PERIODS
Certain events allow you to make changes to your coverage, these includes moving, losing coverage, and getting/losing Medicaid.
Medicare
Medicare Premiums & Deductibles
Part A Cost
Part A Premium
Most people don't pay a monthly premium for Part A.
- .If you do buy Part A, you'll pay up to $515 each month if you paid Medicare taxes for less than 30 quarters.
- If you paid Medicare taxes for 30-39 quarter, the premium is $311.
Monthly Premium
Deductible
Cost Sharing
$0
$1,736 per benefit period
- $0 for the first 6 days.
- $434/day for day 61-90
- $868 over 365 days lifetime
| Individual Tax Return 2024 | Joint Tax Return 2024 | Part B Premium 2026 | Part D IRMAA 2026 |
|---|---|---|---|
| $109,000 or less | $218,000 or less | $202.90 | $0 |
| $109,001 - $137,000 | $218,001 - $274,000 | $284.10 | +$14.50 |
| $137,001 - $171,000 | $274,001 - $342,000 | $405.80 | +$37.50 |
| $171,001 - $205,000 | $342,001 - $410,000 | $527.50 | +$60.40 |
| $205,001 - $499,999 | $410,001 - $749,999 | $649.20 | +$83.30 |
| $500,000 or more | $750,000 or more | $689.90 | +$91.00 |
Part B Costs
Part B Premium
The standard Part B amount is $202.90 (or higher depending on your income).
- The Deductible is $283 per year.
- Medicare pays 80%, you pay 20%
- No limit on total out-of-pocket costs.
Part D Costs
Part D Premium
The premium varies by plan.
- Avoid paying a penalty.
- Join a plan when you get your Part A and Part B.
- Don't go 63 days or more without creditable coverage.
Part C Costs
Part C Premium
The premium varies by plan.
- It's a Medicare Advantage Plan. You must see contracted providers in-the-network to have services covered.
- You must have Part B and keep paying the premium.
- Once you meet the Out-of Pocket, the rest of services are covered 100%
Medicare Supplement-Medigap
Premium
The premium varies by plan, and can change every year.
- Helps pay the other 20% portion of your original Medicare and allows to see any doctor contracted with Medicare.
- You must have Part B and keep paying the premium.
- Some policies may include extra benefits. (Check with your agent)
MEDICARE SAVINGS PROGRAMS
Qualified Medicare Beneficiary
Your Situation
Individual
Married Couple
Monthly Income Limit
$1,350
$1,824
Resource Limit
$9,950
$14,910
Specified Low-Income Medicare Beneficiary
Your Situation
Individual
Married Couple
Monthly Income Limit
$1,616
$2,184
Resource Limit
$9,950
$14,910
Qualified Individual
Your Situation
Individual
Married Couple
Monthly Income Limit
$1,816
$2,455
Resource Limit
$9,950
$14,910
Qualified Disabled & Working Individual
Your Situation
Individual
Married Couple
Monthly Income Limit
$5,405
$7,299
Resource Limit
$4,000
$6,000