Part B (Provider) Cost Details
The chart below shows your estimated part B monthly premium based on your income as reported on your IRS tax return. If your income is above a certain limit, you will pay an income-related monthly adjustment amount in addition to your part B premium.
| If your yearly income in 2019 (for what you pay in 2021) was|| You pay each month (in 2021)|
| File individual tax return|| File joint tax return|| File married & separate tax return|
| $88,000 or less|| $176,000 or less|| $88,000 or less|| $148.50 |
| above $88,000 up to $111,000|| above $176,000 up to $222,000|| Not applicable|| $207.90 |
| above $111,000 up to $138,000|| above $222,000 up to $276,000|| Not applicable|| $297.00 |
| above $138,000 up to $165,000|| above $276,000 up to $330,000|| Not applicable|| $386.10 |
| above $165,000 and less than $500,000|| above $330,000 and less than $750,000|| above $88,000 and less than $412,000|| $475.20 |
| $500,000 or above|| $750,000 and above|| $412,000 and above|| $504.90 |
Home Health Services
$0 for home health care services
20% of the Medicare-approved amount for durable medical equipment (DME)
Medical and other Services
You pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and Durable Medical Equipment (DME) .
Outpatient mental health services
You pay nothing for your yearly depression screening if your doctor or health care provider accepts assignment.
20% of the Medicare-approved amount for visits to your doctor or other health care provider to diagnose or treat your condition. The Part B deductible applies.
If you get your services in a hospital outpatient clinic or hospital outpatient department, you may have to pay an additional copayment or coinsurance amount to the hospital.
Partial hospitalization mental health services
You pay a percentage of the Medicare-approved amount for each service you get from a doctor or certain other qualified mental health professionals if your health care professional accepts assignment. You also pay coinsurance for each day of partial hospitalization services you get in a hospital outpatient setting or community mental health center, and the Part B deductible applies.
Outpatient Hospital Services
You usually pay 20% of the Medicare-approved amount for the doctor or other health care provider's services. For services that can also be provided in a doctor’s office, you may pay more for outpatient services you get in a hospital than you’ll pay for the same care in a doctor’s office. However, the hospital outpatient copayment for the service is capped at the inpatient deductible amount.
In addition to the amount you pay the doctor, you’ll also usually pay the hospital a copayment for each service you get in a hospital outpatient setting, except for certain preventive services that don’t have a copayment. In most cases, the copayment can’t be more than the Part A hospital stay deductible for each service.
The Part B deductible applies, except for certain preventive services . If you get hospital outpatient services in a critical access hospital, your copayment may be higher and may exceed the Part A hospital stay deductible.