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Ohio Medicare Q&A

What is the Medicare Part B premium in 2026?

The standard 2026 Medicare Part B premium is $202.90 per month — up $17.90 from $185.00 in 2025. Higher-income beneficiaries pay more through IRMAA, starting at $284.10/month for individuals with 2024 MAGI over $109,000 ($218,000 for joint filers). Limited-income Ohioans may qualify for a Medicare Savings Program that pays the entire Part B premium.

2026 Part B premium amounts

Single MAGI (2024)Joint MAGI (2024)2026 monthly premium
≤ $109,000≤ $218,000$202.90 (standard)
$109,001 – $137,000$218,001 – $274,000$284.10
$137,001 – $171,000$274,001 – $342,000$405.80
$171,001 – $205,000$342,001 – $410,000$527.50
$205,001 – $499,999$410,001 – $749,999$649.20
≥ $500,000≥ $750,000$689.90

About 92% of Medicare beneficiaries pay the standard $202.90 premium. About 8% pay an IRMAA surcharge based on income from two years earlier (i.e., 2026 premiums are based on your 2024 tax return).

How the Part B premium is paid

  • Most beneficiaries: Part B premium is automatically deducted from your monthly Social Security benefit.
  • If you're not yet drawing Social Security: you'll receive a quarterly bill from CMS, billable by check, automatic bank withdrawal, or credit card via Medicare Easy Pay.
  • Higher-income beneficiaries: the IRMAA portion appears separately on your statement, also typically deducted from Social Security.

What if my income dropped due to a life-changing event?

The 2026 IRMAA is based on your 2024 tax return — but if your income has substantially dropped since then due to a life-changing event, you can request a recalculation:

  • Marriage, divorce, or death of a spouse
  • Work stoppage (retirement)
  • Work reduction
  • Loss of pension income
  • Loss of income from income-producing property (other than ordinary investments)
  • Settlement payment from a current or former employer due to closure, bankruptcy, or reorganization

File Form SSA-44 with the Social Security Administration. Include documentation of the life-changing event. If approved, SSA will recalculate your IRMAA based on your more recent income.

How limited-income Ohioans can have Part B paid for them

Ohio's Medicare Savings Programs can pay your Part B premium entirely if you qualify:

  • QMB (Qualified Medicare Beneficiary): pays Part B premium plus deductibles and coinsurance
  • SLMB (Specified Low-Income Medicare Beneficiary): pays Part B premium
  • QI (Qualifying Individual): pays Part B premium

Apply at benefits.ohio.gov or through your county Department of Job and Family Services. Free help available from OSHIIP at 1-800-686-1578.

What does the Part B premium cover?

Part B covers medically necessary doctor visits, outpatient hospital services, durable medical equipment, preventive services (annual wellness visits, screenings, vaccines), mental health care, ambulance services, and some home health care. After the $283 annual deductible, you typically pay 20% coinsurance and Medicare pays 80% of the Medicare-approved amount.

Frequently asked

+Why did Part B premiums go up so much in 2026?
The 2026 Part B premium ($202.90) increased $17.90 from 2025's $185 — a 9.7% jump. CMS attributed it primarily to projected Part B spending growth and prior-year reconciliation. The increase is larger than typical historical adjustments.
+Does the Part B premium go up every year?
Usually, yes. The Part B premium is recalculated annually based on projected Part B spending and Medicare Trust Fund finances. There have been years (2014–2016, 2021–2023 for certain enrollees) of no premium increase, but increases are the norm.
+If my income dropped, when can I file SSA-44?
Any time after the life-changing event. SSA-44 doesn't have a strict deadline. The form requests recalculation based on your current or projected income; provide documentation.

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