Premium, Deductible and Coinsurance - JE Part B
Premium, Deductible and Coinsurance
Part B
| Year | Standard Premium (Per Month) |
Deductible (Per Year) |
Coinsurance |
|---|---|---|---|
| 2025 | $185.00 | $257 | 20% |
| 2024 | $174.70 | $240 | 20% |
| 2023 | $164.90 | $226 | 20% |
| 2022 | $170.10 | $233 | 20% |
| 2021 | $148.50 | $203 | 20% |
| 2020 | $144.60 | $198 | 20% |
| 2019 | $135.50 | $185 | 20% |
| 2018 | $134.00 | $183 | 20% |
Most individuals age 65 and older, and many disabled individuals under age 65, are insured for Health Insurance (HI) benefits without a premium payment. The Social Security Act provides that certain aged and disabled persons who are not insured may voluntarily enroll, but are subject to the payment of a monthly premium. Since 1994, voluntary enrollees may qualify for a reduced premium if they have 30-39 quarters of covered employment. When voluntary enrollment takes place more than 12 months after a person's initial enrollment period, a 10 percent penalty is assessed for 2 years for every year they could have enrolled and failed to enroll in Part A.
Under Part B of the Supplementary Medical Insurance (SMI) program, all enrollees are subject to a monthly premium. Most SMI services are subject to an annual deductible and coinsurance (percent of costs that the enrollee must pay), which are set by statute. When Part B enrollment takes place more than 12 months after a person's initial enrollment period, there is a permanent 10 percent increase in the premium for each year the beneficiary could have enrolled and failed to enroll.
