Medicare Part B Deductible and Premium for 2026
The Centers for Medicare & Medicaid Services (CMS) has released the Part B premium and deductible costs for 2026. Railroad Medicare processes claims for Part B services.
The 2026 annual Part B deductible increased from $257 in 2025 to $283, a $26.00 difference. The 2026 standard Part B premium amount also increased from $185 in 2025 to $202.90 in 2026, which is a difference of $17.90. Per CMS, most people pay $202.90, although those with higher or lower incomes have monthly adjusted amounts.
The following table shows the monthly premium payments based on your 2024 income:
|
If You Filed an INDIVIDUAL Tax Return with Income in 2024 of |
If You Filed a JOINT |
If You Are Married but Filed a Separate Tax Return with Income in 2024 of |
Part B Premium You Will Pay Each Month in 2026 |
|---|---|---|---|
|
$109,000 or less |
$218,000 or less | $109,000 or less | $202.90 |
| Above $109,000 up to $137,000 | Above $218,000 up to $274,000 | Not applicable | $284.10 |
| Above $137,000 up to $171,000 | Above $274,000 up to $342,000 | Not applicable | $405.80 |
| Above $171,000 up to $205,000 | Above $342,000 up to $410,000 | Not applicable | $527.50 |
| Above $205,000 and less than $500,000 | Above $410,000 and less than $750,000 | Above $109,000 and less than $391,000 | $649.20 |
| $500,000 or above | $750,000 or above | $391,000 or above | $689.90 |
If you have questions about your Part B premium, you can call the Railroad Retirement Board toll free at 877–772–5772, or for the hearing impaired (TTY) call 312–751–4701. General information can also be found at the RRB’s website at www.RRB.gov.
If you have questions about your Railroad Medicare coverage, you can call our Beneficiary Contact Center at 800–833–4455, or for the hearing impaired, call TTY/TDD at 877–566–3572. Customer Service Representatives are available Monday through Friday, from 8:30 a.m. until 7 p.m. ET.