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General

Understanding Medicare Premiums and Deductibles in Florida 2026

Part A Premiums and Deductibles

Most Florida seniors pay $0/month for Part A after working 40+ quarters with Medicare taxes. If you have 30–39 quarters, you pay $284/month. Fewer than 30 quarters: $518/month.

Part A deductible in 2026: $1,676 per benefit period. This is not per year β€” it's per hospital stay separated by 60+ days. You could theoretically pay this deductible multiple times per year. Plan G and Plan N both cover this deductible entirely.

Part B Premium and Deductible

The 2026 standard Part B premium: $185.00/month. This is non-negotiable for most enrollees β€” Medigap does not cover the Part B premium.

Part B deductible: $257/year. This is the only cost Plan G does not cover (you pay it once annually, then Plan G covers everything above it). Plan N and HDG also require you to pay this deductible before coverage applies.

After the deductible, Medicare Part B covers 80% of approved costs. The remaining 20% is where Medigap protection matters most β€” there is no cap on this 20% under Original Medicare alone.

IRMAA Surcharges for Higher-Income Seniors

Income-Related Monthly Adjustment Amounts (IRMAA) add surcharges to both Part B and Part D premiums for seniors whose modified adjusted gross income (MAGI) exceeds thresholds based on income from 2 years prior.

2026 Part B IRMAA (based on 2024 individual income):

  • Up to $106,000: $0 surcharge (standard $185/month)
  • $106,001–$133,000: +$74.00/month
  • $133,001–$167,000: +$185.00/month
  • $167,001–$200,000: +$295.80/month
  • $200,001–$500,000: +$406.90/month
  • Over $500,000: +$443.90/month

Recently retired with lower current income? You can appeal IRMAA using Form SSA-44 to request a reduction based on your current income rather than 2024 income.

How Medigap Changes the Picture

Without Medigap, Original Medicare requires you to manage multiple cost-sharing obligations: Part A deductibles per stay, 20% of all Part B services with no cap, and daily coinsurance for extended hospital stays.

With Medigap Plan G, your cost-sharing simplifies to one number: $257/year (the Part B deductible). Every other Medicare-covered cost is handled by your plan. This predictability is what Florida seniors with Plan G consistently cite as the plan's greatest value β€” not just the money saved, but the elimination of financial uncertainty.

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