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Medicare Annual Cost Builder

Estimate premiums, deductibles, routine care, prescriptions, and maximum exposure together.

Build an annual baseline

Multiply the applicable Part B premium by 12; add any Part A premium, Medicare Advantage or Medigap premium and Part D premium. In 2026 the standard Part B monthly premium is $202.90 and Part B annual deductible is $283, but income-related premiums may be higher.

Official source: Medicare: 2026 costs ↗ · SSA: Request lower IRMAA ↗

Use scenarios, not a fake exact result

Estimate one year of routine appointments and prescriptions and another with a hospital stay or expensive treatment. For an Advantage plan use its annual medical maximum; for Original Medicare include any supplemental protection because A/B alone has no annual out-of-pocket maximum.

Official source: Medicare: Original versus Advantage ↗ · Medicare: 2026 costs ↗

Prescription costs have their own ceiling

The 2026 Part D annual cap on out-of-pocket costs for covered Part D drugs is $2,100. Premiums, drugs not covered by the plan, and costs for drugs covered under Part B are separate. Enter exact drugs and pharmacies to compare plans.

Official source: Medicare: 2026 drug cap and payment option ↗ · Medicare: Compare plans ↗

Required personalized inputs

A defensible calculation needs ZIP/county, coverage year, Part A/B status, current plan, drug doses, pharmacy and expected service use. Until those are entered and the exact contract checked, any displayed total would be a guess.

Official source: Medicare: Compare plans ↗ · Medicare: Evidence of Coverage ↗

Build a 2026 annual cost estimate

Use the costs for one exact coverage option. Enter your own annual estimates for medical services and drugs after plan coverage; there is no automatic plan quote. Figures stay in your browser.

Calculation: 12 × monthly premiums + medical + drug + uncovered service costs. The standard 2026 Part B premium is $202.90 for most people; replace it if your SSA amount differs. Medical and drug limits are separate; this estimator does not enforce deductibles or a plan’s medical maximum. Confirm current Medicare costs.

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We do not offer every plan available in your area. Currently, we represent organizations that offer products in your area. Please contact Medicare.gov or 1-800-MEDICARE for information on all of your options.

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