2027 alertWellcare, Aetna and Wellpoint Medicare Advantage plans end December 31 in some Arizona counties. (CMS data) 28 days left in Annual Enrollment (ends Dec. 7).Is your plan ending? →
Costs

Medicare costs in 2026

In 2026 the standard Part B premium is $202.90 a month, the Part B deductible is $283, the Part A hospital deductible is $1,736 per benefit period, and Part D out-of-pocket drug costs are capped at $2,100. These amounts are the same in Arizona as everywhere else; what differs is the help available, and in Arizona AHCCCS's Medicare Savings Programs can pay the Part B premium with no asset test.

Every amount below is for calendar year 2026, from CMS and Social Security. Medicare's costs are federal, so they're the same in Phoenix, Tucson, Yuma or Window Rock. Jump to: Part A · Part B · IRMAA · Part D · Medicare Advantage · Medigap · Extra Help · 2025 vs 2026 · Help in Arizona

Part A (hospital insurance)

Part A cost2026
Premium with 40 or more quarters of workNo premium
Premium with 30 to 39 quarters$311 a month
Premium with fewer than 30 quarters$565 a month
Inpatient deductible (each benefit period)$1,736
Hospital days 61 to 90$434 a day
Lifetime reserve days (60 in a lifetime)$868 a day
Skilled nursing facility days 21 to 100$217 a day

Hospital days 1 to 60 and skilled nursing days 1 to 20 have no coinsurance after the deductible. More on Part A.

Part B (medical insurance)

Part B cost2026
Standard monthly premium$202.90
Yearly deductible$283
Coinsurance for most services20% of the Medicare-approved amount
Late enrollment penalty10% of the standard premium for each full 12 months you delayed

More on Part B, including excess charges and the late penalty. Estimate a penalty with the penalty calculator.

IRMAA: income-related premiums

If your modified adjusted gross income (MAGI) on your 2024 tax return was above the first threshold, you pay more for Part B and Part D in 2026. The Part D amount is added to your plan's premium. The brackets are cliffs, not marginal rates: if your income is even a dollar into a higher bracket, the whole higher amount applies.

2024 MAGI, single2024 MAGI, married filing jointly2026 Part B premium (monthly)Part D surcharge (monthly)
$109,000 or less$218,000 or less$202.90None
$109,001 to $137,000$218,001 to $274,000$284.10$14.50
$137,001 to $171,000$274,001 to $342,000$405.80$37.50
$171,001 to $205,000$342,001 to $410,000$527.50$60.40
$205,001 to under $500,000$410,001 to under $750,000$649.20$83.30
$500,000 or more$750,000 or more$689.90$91

Married people who lived with their spouse at some point during the year and file separate returns have their own brackets:

2024 MAGI, married filing separately2026 Part B premium (monthly)Part D surcharge (monthly)
$109,000 or less$202.90None
$109,001 to under $391,000$649.20$83.30
$391,000 or more$689.90$91

If your income has fallen because of a life-changing event, such as retirement, reduced work hours, loss of a pension or a spouse's death, ask Social Security to recalculate with Form SSA-44. Try the IRMAA calculator to see your bracket.

Part D (prescription drugs)

Part D amount2026
Maximum yearly deductible a plan can charge$615
Yearly cap on your out-of-pocket drug costs$2,100
Most you pay for a month's supply of each covered insulin$35
National base beneficiary premium (used to figure the late penalty)$38.99 a month

Plans set their own premiums and can have a lower deductible or none. Once your out-of-pocket costs for covered drugs reach the cap, you pay nothing more for covered Part D drugs for the rest of the year. There's no longer a coverage gap ("donut hole"). The Part D late enrollment penalty is 1% of the national base beneficiary premium for each month you went without creditable drug coverage. You can spread drug costs across the year with the Medicare Prescription Payment Plan. More on Part D in Arizona, or use the drug cap calculator.

Medicare Advantage out-of-pocket limits

Medicare Advantage limit2026 maximum
In-network services (HMO and PPO)$9,250
In- and out-of-network services combined (PPO)$13,900

These are the highest limits Medicare allows for Part A and Part B services; each plan sets its own limit at or below them. Drug costs count toward the separate Part D cap, not this limit. You still pay the Part B premium with a Medicare Advantage plan. More on Medicare Advantage in Arizona.

Medigap amounts set by Medicare

Medigap premiums are set by each insurance company, but Medicare sets a few amounts for the standardized plans:

Medigap amount2026
High-deductible Plan G (and Plan F for those eligible) deductible$2,950
Plan K yearly out-of-pocket limit$8,000
Plan L yearly out-of-pocket limit$4,000
Plan N copaysUp to $20 for some office visits, up to $50 for emergency room visits that don't lead to admission

More on Medigap in Arizona.

Extra Help with drug costs

Extra Help (the Part D Low-Income Subsidy) lowers drug plan premiums, deductibles and copays. For 2026:

Extra HelpIndividualMarried couple
Yearly income limit (150% of the federal poverty level)$23,940$32,460
Resource limit$16,590$33,100
Resource limit if you expect to use some for burial$18,090$36,100
Most you pay per prescription with Extra Help in 2026GenericBrand name
Most people with Extra Help$5.10$12.65
Full AHCCCS members with income at or below 100% of the poverty level$1.60$4.90

Your home, one car and certain other things don't count as resources. Apply through Social Security at ssa.gov/extrahelp or 1-800-772-1213. If you have full AHCCCS, a Medicare Savings Program or Supplemental Security Income, you qualify automatically.

What changed from 2025 to 2026

Amount20252026Change
Part B standard premium (monthly)$185$202.90+$17.90
Part B deductible$257$283+$26
Part A deductible$1,676$1,736+$60
Part D out-of-pocket cap$2,000$2,100+$100
First IRMAA threshold, single$106,000$109,000+$3,000
First IRMAA threshold, married filing jointly$212,000$218,000+$6,000

If you get Social Security, your benefit's cost-of-living adjustment and your Part B premium change at the same time each January; Social Security's yearly notice shows both.

Looking ahead to 2027

CMS announces the next year's Part A and Part B premiums and deductibles each fall, and they take effect January 1. Medicare Advantage and Part D plans set their 2027 premiums and cost sharing for the plan year that starts January 1, 2027; you can review them during the Annual Enrollment Period, October 15 to December 7, 2026. This page shows 2026 amounts until the 2027 figures are final; for the official 2027 numbers, check Medicare.gov.

Help paying Medicare costs in Arizona

Medicare Savings Programs (AHCCCS)

QMB, SLMB and QI-1 pay the Part B premium, and QMB also covers Part A premiums, deductibles and coinsurance. Income limits are 100%, 120% and 135% of the federal poverty level, and AHCCCS's eligibility policy has no resource limit for them. Learn more.

Extra Help

Lowers Part D premiums, deductibles and copays, and comes automatically with a Medicare Savings Program or full AHCCCS. Others apply through Social Security.

AHCCCS and ALTCS

Full AHCCCS pays after Medicare for covered services, and ALTCS covers long-term care that Medicare doesn't. AHCCCS and Medicare.

A licensed insurance agent

A licensed insurance agent with Benefits Life can explain how plans from the companies they work with handle these costs, at no cost to you: (602) SENIORS (602-736-4677), TTY 711.

Apply for AHCCCS programs at healthearizonaplus.gov. To check where you might qualify, try the savings programs calculator. To compare coverage, see plans in your ZIP code.

Sources

Frequently asked questions

How much did Medicare go up from 2025 to 2026?

The standard Part B premium rose from $185 to $202.90 a month, an increase of $17.90. The Part B deductible rose from $257 to $283, the Part A deductible from $1,676 to $1,736, and the Part D out-of-pocket cap from $2,000 to $2,100.

When will the 2027 Medicare costs be announced?

CMS announces the next year's Part A and Part B premiums and deductibles each fall, and the new amounts take effect January 1. Social Security mails each person a notice of their new premium. Check Medicare.gov for the official 2027 amounts.

Is there a limit on what I pay with Original Medicare?

No. Original Medicare has no yearly out-of-pocket limit for Part A and Part B. Medicare Advantage plans must have one, up to $9,250 for in-network services in 2026, and Part D has its own $2,100 cap on drug costs. Many people with Original Medicare add a Medigap policy to limit their costs.

Who pays the higher IRMAA premiums?

People whose modified adjusted gross income on their 2024 tax return was above $109,000 (single) or $218,000 (married filing jointly) pay an income-related amount on top of the Part B premium and their Part D plan premium in 2026. If your income has dropped since then because of retirement or another life-changing event, you can ask Social Security to use a newer year.

Can I get help paying Medicare costs in Arizona?

Yes. AHCCCS runs the Medicare Savings Programs, which can pay the Part B premium and, for QMB, deductibles and coinsurance, for people with income up to 135% of the federal poverty level, with no asset test under AHCCCS's eligibility policy. Extra Help lowers Part D drug costs, and you qualify for it automatically if you're in a Medicare Savings Program or have full AHCCCS.

Licensed insurance agents for Arizona

These independent insurance agents are licensed in Arizona and work with Benefits Life, the publisher of this site. When they enroll you in a plan, the agent and Benefits Life may be paid by the insurance company. Learn more.

Stephanie Juetten

Stephanie Juetten

5.0 out of 5 stars (3 reviews on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in Arizona

Phoenix, AZ · English

Adam Whiting

Adam Whiting

Accepting new clients

Independent licensed insurance agent in Arizona

Carefree, AZ · English

Pilar Kleinman

Pilar Kleinman

Accepting new clients

Independent licensed insurance agent in Arizona

Phoenix, AZ · English, Spanish

Jeff Kleinman

Jeff Kleinman

Accepting new clients

Independent licensed insurance agent in Arizona

Phoenix, AZ · English

See all Arizona agents →

Request a call from

Only this agent gets your request. No cost to you.

Visit an insurance agency office

Find independent insurance agency offices in Arizona on MedicareResourceCenter.com.

Find an office