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Eligibility for Medicare, a federal health insurance program, begins once a person reaches the age of 65 or upon reaching 24 months on disability (age is not a factor in this case) for a qualifying-ailment. There are four parts to Original Medicare: A, B, C and D. Part A entails hospital coverage. Part B involves coverage for doctors. Part C is also known as Medicare Advantage or “Managed Care” (I.e. HMO, PPO, PFF and SNP). Part D involves prescription drug coverage (aka Prescription Drug Plans [PDP]). Some of the parts work in tandem but others do not. It’s important to make sure you know which ones do and which ones don’t.
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| If your yearly income in 2024 (for what you pay in 2024) was | |||
|---|---|---|---|
| File individual tax return | File joint tax return | File married & separate tax return | You pay each month (in 2022) |
| $91,000 or less | $182,000 or less | $91,000 or less | $171.10 |
| above $91,000 up to $114,000 | above $182,000 up to $228,000 | Not applicable | $238.10 |
| above $114,000 up to $142,000 | above $228,000 up to $284,000 | Not applicable | $340.20 |
| above $142,000 up to $170,000 | above $284,000 up to $340,000 | Not applicable | $442.30 |
| above $170,000 and less than $500,000 | above $340,000 and less than $750,000 | above $91,000 and less than $409,000 | $544.30 |
| $500,000 or above | $750,000 and above | $409,000 and above | $587.30 |
Medicare Part B provides coverage for most medically-necessary doctors’ services, hospital outpatient services, durable medical equipment, preventative care, lab tests, x-rays, mental health care and some ambulance expenses. Like Medicare Part A, Part B does not provide complete coverage, and there is a deductible, along with additional out-of-pocket expenses.
