Information checked: 2026-09-09 · Maintenance label: Annual variable values
The 2027 Medicare Part B premium has not been announced. CMS publishes the following year's premiums, deductibles and coinsurance amounts in the autumn, and the 2026 figures were released on 14 November 2025.
So a 2027 figure circulating now is a projection. This guide covers when the real number arrives, what the current amounts are, and how the income-related surcharge works, because that is the part that surprises people rather than the standard premium.
Key takeaway
Expect the 2027 amounts from CMS in the autumn, following the pattern of the 14 November 2025 release for 2026. The 2026 standard Part B premium is $202.90 a month with a $283 annual deductible. Higher-income beneficiaries pay an income-related adjustment on top, based on a tax return from two years earlier.
Table of contents
- The current figures
- The income-related adjustment
- How to check your own amount
- Why the premium can offset your COLA
- Frequently asked questions
- Summary
Related guides
- Social Security COLA 2027: Announcement Date and When Payments Change — Why the premium can offset your cost-of-living adjustment
- Medicare Savings Program 2026: Income Limits, Covered Costs, and How to Apply — Programs that pay the Part B premium for you
- Medicare Open Enrollment 2026: Dates, Plan Changes, and What to Review — The window in which you can change plans
The current figures
| 2026 amount | Figure | Change from 2025 |
|---|---|---|
| Standard Part B monthly premium | $202.90 | up $17.90 from $185.00 |
| Part B annual deductible | $283 | up $26 from $257 |
| Part A inpatient hospital deductible | $1,736 | up $60 from $1,676 |
| Part A coinsurance, days 61 to 90 | $434 per day | — |
| Part A lifetime reserve day coinsurance | $868 per day | — |
These remain in force until CMS publishes the 2027 amounts.
Watch for the official releaseCMS newsroom fact sheets ›CMS publishes the annual Medicare premium and deductible figures here. The 2026 amounts were released on 14 November 2025.The income-related adjustment
Most people pay the standard premium. Those above an income threshold pay an income-related monthly adjustment amount on top of it, based on a tax return from two years earlier. For 2026 the tiers are:
| Individual income | Joint income | Added to the Part B premium |
|---|---|---|
| $109,000 or less | $218,000 or less | $0 |
| Above $109,000 to $137,000 | Above $218,000 to $274,000 | $81.20 |
| Above $137,000 to $171,000 | Above $274,000 to $342,000 | $202.90 |
| Above $171,000 to $205,000 | Above $342,000 to $410,000 | $324.60 |
| Above $205,000 to under $500,000 | Above $410,000 to under $750,000 | $446.30 |
| $500,000 or more | $750,000 or more | $487.00 |
Two things follow from the two-year lookback. A one-off income event, such as selling a property, can raise your premium two years later. And if your income has since fallen because of a life-changing event such as retirement or the death of a spouse, you can ask the Social Security Administration to reconsider using your current income instead.
How to check your own amount
- Wait for the CMS announcement of the 2027 figures rather than acting on a projection.
- Read the notice the Social Security Administration sends about your benefit amount for the coming year.
- Check your my Social Security account, which shows your own deduction rather than the national average.
- If an income-related adjustment appears and your income has since dropped for a qualifying reason, request a reconsideration.
The notice is the authoritative number for you personally. The published standard premium is a national figure and does not account for your surcharge, any late enrollment penalty, or a hold-harmless situation.
Free one-to-one helpState Health Insurance Assistance Program ›Free, unbiased Medicare counselling in every state. Counsellors are not paid commission on plan sales.Why the premium can offset your COLA
Part B premiums are deducted from many Social Security payments. When the premium rises in the same January that the cost-of-living adjustment applies, the net increase in the payment reaching your bank account is smaller than the headline percentage.
This is the single most common reason people feel the adjustment did not arrive. Compare your notice against last year's rather than against the announced percentage.
Frequently asked questions
What is the 2027 Part B premium?
It has not been announced. CMS releases the following year's amounts in the autumn; the 2026 figures came on 14 November 2025.
What is the current standard premium?
$202.90 a month for 2026, with a $283 annual deductible.
Why is my premium higher than the standard amount?
Most often an income-related monthly adjustment based on a tax return from two years earlier, or a late enrollment penalty.
Can I get a surcharge reduced?
You can ask the Social Security Administration to use more recent income if a life-changing event, such as retirement or the death of a spouse, has reduced it.
Where do I see my own amount?
In the notice the Social Security Administration sends and in your my Social Security account, not in the national figure.
Summary
The 2027 number arrives from CMS in the autumn. Until then, the operative figures are the 2026 ones: $202.90 a month and a $283 deductible.
If your premium looks wrong, the usual explanation is the income-related adjustment from a two-year-old tax return, and that can be reconsidered when a life-changing event has reduced your income.
- CMS, 2026 Medicare Parts A and B premiums and deductibles — 2026 premium, deductible and income-related adjustment amounts, announced 14 November 2025
- Medicare.gov, Joining a plan — Enrollment period dates and when changes take effect