HHS Medicare 2025 Rates, Premiums


On Nov. 14, HHS updated Medicare Part A and B premium, deductible.


  • HHS issued notice for inpatient hospital deductible, hospital, extended care services coinsurance amounts for 2025, under Medicare's Hospital Insurance Program (Part A).
  • Also published monthly actuarial rates for aged (age 65+) and disabled (under age 65) beneficiaries enrolled in Part B of Medicare Supplementary Medical Insurance (SMI).
  • HHS also published notice of 2025 Medicare Part A premium for uninsured enrollees.
  • Inpatient Hospital Deductible
  • Formulas to determine amounts set under Social security act S. 1813, 42 USC 1395e.
  • Deductible will be $1,676; daily coinsurance amounts for CY 2025 will include $419 for 61st-90th day of hospitalization in benefit period; $838 for lifetime reserve days.
  • Will include $209.50 for 21st-100th day of extended care services in nursing facility.
  • Medicare Part B Rates
  • Monthly premium for aged, disabled beneficiaries, 2025 deductible, income-related monthly adjustment by beneficiaries, per 42 CFR 407 subpart B and 42 CFR 408.
  • Monthly actuarial rates are $368.10 for aged enrollees, $487.80 for disabled enrollees.
  • Standard monthly Part B premium rate for all enrollees for 2025 is $185.00.
  • Equal to 50% of monthly actuarial rate for aged enrollees (25% expected average total cost of Part B coverage for aged enrollees) plus $0.90 repayment required under law.
  • The Medicare Part B deductible for 2025 is $257.00 for all Part B beneficiaries.
  • Uninsured Enrollees
  • Premium by enrollees 65 and over not otherwise eligible for benefits under Medicare Part A (uninsured aged), individuals with disabilities exhausted other entitlement.
  • Monthly Medicare Part A premium for 12 months beginning Jan. 1, 2025, will be $518.
  • The premium for certain other individuals as described in this notice will be $285.
  • Effectiveness
  • Deductible and coinsurance amounts announced in notice effective on Jan. 1, 2025.
  • Medicare Part B rates and amounts announced in notice are effective on Jan. 1, 2025.

Regulators HHS
Entity Types Ins
Reference 89 FR 89998, 89 FR 90002; 89 FR 90015, 11/14/2024; RIN 0938-AV36; RIN 0938-AV38; RIN 0938-AV37; Docket No. CMS-8086-N, CMS-8088-N, CMS-8087-N; Citation: 42 USC 1395e; 42 CFR 407 subpart B; 42 CFR 408;
Functions Claims/Accelerated Benefits; Compliance; Legal; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health; Medicare
Regions Am
Rule Type Final
Rule Date 11/14/2024
Effective Date 1/1/2025
Rule Id 233580
Linked to N/A
Reg. Last Update 11/14/2024
Report Section US Investment

Last substantive update on 11/19/2024