Original Medicare Explained

Medicare is a federal health insurance program that helps you pay for things like hospital care and prescriptions.

Medicare plans are distinguished by specific parts. The most common and well-known program is Original Medicare, which includes Medicare Part A and Medicare Part B.

Eligibility

You become eligible for Medicare when you: 

  • Turn 65
  • Receive Social Security disability payments for 24 months
  • Have End-Stage Renal Disease (ESRD)

If you’re still working at age 65, you can wait to enroll or combine your Medicare and employer insurance. Having both plans can provide a boost to your coverage.

Enrollment

You will be automatically enrolled in Original Medicare when you turn 65 if you receive Social Security benefits. You will receive a card in the mail letting you know. Otherwise, you can enroll online. If you aren’t automatically enrolled, you can take advantage of your Initial Enrollment Period which starts three months before your 65th birthday.

If you want a Part C, Part D, or supplement plan, you will have to find, choose, and enroll in a plan with the provider of your choice. A Medicare agent can help you find the coverage you need.

Costs

Medicare costs are based on premiums, deductibles, and out-of-pocket fees. Premiums are charged monthly.

2026 Medicare Costs

Medicare Part A
Premium
Most people don’t have to pay a monthly premium for Part A if they paid Medicare taxes for 10 years (40 quarters). If you paid Medicare taxes for fewer than 30 quarters, your Part A monthly premium will be $505. If you paid Medicare taxes for 30–39 quarters, your Part A monthly premium will be $278.
Medicare Part A
Inpatient Deductible
and Coinsurance
You will pay:
  • $1,736 deductible for each benefit period
  • $0 coinsurance for days 1–60 per benefit period
  • $434 daily coinsurance for days 61–90
  • $868 per day after 90 days per benefit period (60 lifetime reserve days)
Medicare Part B
Premium
The standard Part B monthly premium is $202.90

The premium may be higher, depending on your income.
Medicare Part B
Deductible and
Coinsurance
Part B yearly deductible is $283

After meeting the deductible, you will pay 20% of the Medicare-approved amount for approved services you receive.

You may also pay a 15% excess charge at some providers.
Medicare Part C
(Medicare Advantage)
Part C plans bundle Part A, Part B, and usually Part D. Premiums, deductibles, and out-of-pocket costs vary by plan and provider.
Medicare Part D
Premium and
Deductible
Part D monthly premiums vary by plan. The average monthly premium is $55.50.

Part D plans can have a maximum deductible of $545. Some plans have no deductible.

Have Medicare Questions? We’re Here to Help!

If you’re interested in learning more about Medicare, we can provide you with the answers you’re looking for. To learn more about how we can help you, call Magellan Healthcare today.