2023 Medicare Part B Deductible
For 2023, the Medicare Part B Deductible is $226 (Deductible) and $164.90 (Standard premium).
Effective 2023-01-01Source: 2023 Medicare Parts A & B Premiums and Deductibles / 2023 Medicare Part D Income-Related Monthly Adjustment Amounts (CMS)Verified 2026-09-01
Compared with 2022
| Item | 2022 | 2023 | Change |
|---|---|---|---|
| Deductible | $233 | $226 | -$7 (-3.0%) |
| Standard premium | $170.10 | $164.90 | -$5.20 (-3.1%) |
Who it applies to
All people enrolled in Medicare Part B.
What changed this year, and why
For 2023, the annual deductible for all Medicare Part B beneficiaries is $226. The standard monthly premium for Medicare Part B is $164.90 for 2023. Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services. Higher-income beneficiaries pay more than the standard premium through income-related monthly adjustment amounts.
Common questions
- How much is the Medicare Part B deductible for 2023?
- The annual Medicare Part B deductible for 2023 is $226.
- What is the standard Medicare Part B premium for 2023?
- The standard monthly premium for Medicare Part B in 2023 is $164.90. Higher-income beneficiaries may pay more through income-related monthly adjustment amounts.
What the Part B deductible applies to
The Part B deductible applies to physician services, outpatient hospital services, certain home health services, durable medical equipment, and other medical services not covered by Part A. In 2023, beneficiaries must pay the $226 annual deductible before Medicare begins to cover these services. Each year, the deductible amount is set according to the Social Security Act, and it can increase or decrease from one year to the next based on projected program spending and reserves in the Part B account of the Supplementary Medical Insurance Trust Fund.
Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.
2023 Medicare Parts A & B Premiums and Deductibles / 2023 Medicare Part D Income-Related Monthly Adjustment Amounts (CMS)
Part A has its own separate deductible
Part A covers a different set of services than Part B, including inpatient hospital stays, skilled nursing facility care, hospice, inpatient rehabilitation, and some home health care. Because these are different types of services, Part A has its own separate deductible that applies independently from the $226 Part B deductible. A beneficiary who owes the Part B deductible for outpatient physician services must also pay the Part A deductible when admitted to the hospital; meeting one does not satisfy the other. The Part A deductible amount is set each year alongside Part B amounts but follows its own trend and can move in a different direction. For 2023, the standard Part B premium is $164.90, and most beneficiaries who are enrolled in both Part A and Part B will face both deductibles during a year in which they receive hospital and outpatient care.
Medicare Part A covers inpatient hospital, skilled nursing facility, hospice, inpatient rehabilitation, and some home health care services.
2023 Medicare Parts A & B Premiums and Deductibles / 2023 Medicare Part D Income-Related Monthly Adjustment Amounts (CMS)
Why most people pay no Part A premium
Most Medicare beneficiaries do not pay a monthly premium for Part A because they qualify based on their work history. About 99 percent of Medicare beneficiaries do not have a Part A premium since they have at least 40 quarters of Medicare-covered employment. Each quarter represents a three-month period during which the individual or their spouse paid Medicare payroll taxes. The 40-quarter threshold means that people who have accumulated enough qualifying work credits over their career can receive hospital insurance without a monthly premium. Those who fall short of 40 quarters may still enroll in Part A but must pay a monthly premium. Even beneficiaries who receive premium-free Part A are still responsible for the $226 annual Part B deductible for outpatient services and the standard Part B premium of $164.90 per month in 2023.
About 99 percent of Medicare beneficiaries do not have a Part A premium since they have at least 40 quarters of Medicare-covered employment.
2023 Medicare Parts A & B Premiums and Deductibles / 2023 Medicare Part D Income-Related Monthly Adjustment Amounts (CMS)
The Part A deductible is per benefit period, not per year
The Part A inpatient hospital deductible is calculated per benefit period, not on an annual basis. A benefit period begins when a beneficiary is admitted to the hospital and ends when they have been out of the hospital for 60 consecutive days. This means that if someone is hospitalized, discharged, and then readmitted after 60 days have passed, a new benefit period begins and the deductible must be paid again. In 2023, the deductible covers the beneficiary's share of costs for the first 60 days of Medicare-covered inpatient hospital care in each benefit period, after which daily coinsurance amounts apply for extended stays.
The Part A inpatient hospital deductible covers beneficiaries’ share of costs for the first 60 days of Medicare-covered inpatient hospital care in a benefit period.
2023 Medicare Parts A & B Premiums and Deductibles / 2023 Medicare Part D Income-Related Monthly Adjustment Amounts (CMS)
Married, living together, filing separately: the income surcharge jumps
In 2023, Medicare beneficiaries who are married and lived with their spouse at any time during the year but file a separate tax return face a much steeper income-related monthly adjustment amount (IRMAA) schedule than those who file jointly. For full Part B coverage, any such beneficiary with modified adjusted gross income above $97,000 pays an IRMAA surcharge on top of the standard premium of $164.90. With income greater than $97,000 and less than $403,000, the surcharge is $362.60, bringing the total monthly premium to $527.50. With income greater than or equal to $403,000, the surcharge rises to $395.60, making the total monthly premium $560.50. Those with income at or below $97,000 pay no surcharge and owe only the standard premium. Because the separate-return bracket structure collapses into just two surcharge tiers, even a modest amount of separate income above the $97,000 threshold triggers a large jump in the monthly premium a person owes compared with what a joint-filing couple would pay at similar income levels.
Premiums for high-income beneficiaries with full Part B coverage who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows: Full Part B Coverage Beneficiaries who are married and lived with their spouses at any time during the year, but who file separate tax returns from their spouses, with modified adjusted gross income: Income-Related Monthly Adjustment Amount Total Monthly Premium Amount Less than or equal to $97,000 $0.00 $164.90 Greater than $97,000 and less than $403,000 $362.60 $527.50 Greater than or equal to $403,000 $395.60 $560.50
2023 Medicare Parts A & B Premiums and Deductibles / 2023 Medicare Part D Income-Related Monthly Adjustment Amounts (CMS)
How each figure was verified
Each number below was read from a stored copy of the document named beside it, and checked to occur word for word in the quoted sentence. The digest is of that stored text.
- Deductible
The annual deductible for all Medicare Part B beneficiaries is $226 in 2023, a decrease of $7 from the annual deductible of $233 in 2022.
The standard monthly premium for Medicare Part B enrollees will be $164.90 for 2023, a decrease of $5.20 from $170.10 in 2022.