2028 Medicare Part B Premium: $224.50 (Projected)

Planning projections. The final CMS amounts and income tiers can differ.

Projected

Standard monthly Part B premium

$224.50

Projected

Premium and deductible are different.

The annual Part B deductible is $313. Income-related adjustments can increase the monthly premium. Eligible people may have a hold-harmless adjustment.

The recent trend.

Medicare amount history and projections
YearStandard monthly Part B premiumStatus
2024$174.70Official
2025$185.00Official
2026$202.90Official
2027$209.50Projected
2028$224.50Projected
Premiums and cost-sharing: 2026 Trustees tables V.E1/V.E2, pp. 206-207. IRMAA planning model: 3% annual threshold growth rounded to $1,000; surcharge growth follows the respective base premium. Top $500,000/$750,000 thresholds held fixed. Not official CMS brackets.

Questions, answered.

Are the 2028 Medicare amounts official?

No. These are Trustees-based premium projections and explicit IRMAA planning assumptions, with no claim of a final CMS announcement.

Which income counts for IRMAA?

Modified adjusted gross income is ordinarily adjusted gross income plus tax-exempt interest from two tax years earlier. Certain changes can justify a new determination from SSA.

Will a married couple pay one premium?

Medicare costs are generally per enrolled person. Joint filing uses the joint income thresholds, but each spouse can owe a premium and surcharge.

Does the Part D base amount equal my plan premium?

No. It is a national benchmark. Your chosen plan premium and any Part D income-related surcharge are separate.

Can retirement reduce an IRMAA assessment?

Work stoppage or reduction can be a qualifying life-changing event. Follow SSA-44 and SSA’s evidence rules; a lower entered calculator income does not itself change the assessment.

Check the sources.

Data checked October 1, 2026.