How much money can you make and not have to pay for Medicare?

You can make a significant amount of money and still get Medicare, as there's no income limit to receive benefits, but higher incomes mean paying higher premiums (Income-Related Monthly Adjustment Amount or IRMAA) for Parts B & D, while Part A is usually free if you worked 10+ years. For 2026 costs, individuals earning over $109,000 (or $218,000 jointly) in 2024 pay more for Part B, with escalating brackets for higher earnings.

What is the income limit to qualify for free Medicare?

Qualified Medicare Beneficiary Program (QMB)

This program helps to pay Medicare Part A and Part B premiums and copayments. It also helps to pay deductibles and coinsurance for both Part A and Part B. A single person can qualify for the program in 2025 with an income up to $1,325 per month.

Who doesn't have to pay Medicare premiums?

Part A (Hospital Insurance) costs. $0 for most people (because they or a spouse paid Medicare taxes long enough while working — generally at least 10 years). If you get Medicare earlier than age 65, you won't pay a Part A premium. This is sometimes called “premium-free Part A.”

Does everyone have to pay $170 a month for Medicare?

If you don't get premium-free Part A, you pay up to $565 each month. If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($202.90 in 2026).

How do I avoid paying Medicare Part B?

You can avoid the Medicare Part B premium by delaying enrollment if you have creditable employer coverage (from a current job with 20+ employees) or by qualifying for a Medicare Savings Program (MSP) to have the state pay it, but generally, you must enroll during your Initial Enrollment Period (IEP) or face lifelong penalties if you don't have other qualifying coverage. If you have other creditable insurance, you can delay Part B and sign up later within 8 months of that coverage ending without penalty. 

How Your Income Affects Your Medicare Premium

Who is exempt from paying Medicare?

Some people may be exempt from paying Medicare tax before retirement. Reasons for exemption include renouncing your rights to Social Security Association (SSA) benefits, never having received or not being eligible for SSA benefits, and living abroad and working for a foreign employer.

At what age do you stop paying Medicare premiums?

Your CalPERS health coverage will automatically be canceled the first day of the month after you turn 65. See Cancellation of CalPERS Health Coverage for information on reinstating your health coverage.

At what income do you pay extra Medicare?

Medicare costs, specifically for Part B (medical) and Part D (prescription drug) premiums, increase at specific income levels, starting for individuals above $109,000 and married couples above $218,000 in 2026, based on your Modified Adjusted Gross Income (MAGI) from your 2024 tax return; these higher costs, known as IRMAA (Income-Related Monthly Adjustment Amount), rise in brackets with higher income, with the highest costs for those earning $500,000+ (single) or $750,000+ (married). 

Is it better to go on Medicare or stay on private insurance?

Neither Medicare nor private insurance is universally "better"; the best choice depends on individual needs, but Medicare often offers lower overall costs and simplicity for seniors, while private insurance excels in covering dependents and potentially offering more choice with networks/out-of-pocket caps, though at higher premiums. Medicare boasts lower admin costs and standardized coverage, but Original Medicare lacks an out-of-pocket maximum, a feature typically found in private plans and Medicare Advantage (Part C). 

What are the biggest mistakes people make with Medicare?

The biggest Medicare mistakes involve missing enrollment deadlines, failing to review plans annually, underestimating total costs (premiums, deductibles, copays), not enrolling in a Part D drug plan with Original Medicare, and assuming one-size-fits-all coverage or that Medicare covers everything like long-term care. People often delay enrollment, get locked into old plans without checking for better options, or overlook financial assistance programs, leading to higher out-of-pocket expenses and penalties. 

How much money can you have in the bank when you are on Medicare?

Medicare itself doesn't have a bank account limit, but if you need help paying costs through Medicare Savings Programs (MSPs), asset limits apply (around $9,660 for individuals, $14,470 for couples in 2025) for programs like QMB, SLMB, and QI, though California eliminated asset tests for its state-run MSPs. These limits cover countable assets like savings, but your primary home and one car usually don't count. 

What if I have Medicare but make too much money?

If you have a higher income, you'll pay an additional premium amount for Medicare Part B and Medicare prescription drug coverage. We call the additional amount the “income-related monthly adjustment amount.”

What if I can't afford Medicare?

If you can't afford to pay your Medicare premiums and other medical costs, you may be able to get help from your state. States offer Medicare Savings Programs for people entitled to Medicare who have limited income. Some programs may pay for Medicare premiums and some pay Medicare deductibles and coinsurance.

What disqualifies a person from Medicare?

You can be disqualified from Medicare if you aren't a U.S. citizen or lawful resident, lack sufficient work history for premium-free Part A, fail to sign up on time (incurring penalties), have serious criminal issues (like healthcare fraud), or if you move out of the country, though eligibility is primarily tied to age (65+), disability, or End-Stage Renal Disease (ESRD). 

What income makes you pay more for Medicare?

Medicare costs, specifically for Part B (medical) and Part D (prescription drug) premiums, increase at specific income levels, starting for individuals above $109,000 and married couples above $218,000 in 2026, based on your Modified Adjusted Gross Income (MAGI) from your 2024 tax return; these higher costs, known as IRMAA (Income-Related Monthly Adjustment Amount), rise in brackets with higher income, with the highest costs for those earning $500,000+ (single) or $750,000+ (married). 

How do I avoid paying the Medicare levy surcharge?

How to avoid paying the Medicare Levy Surcharge. If you're a higher income earner, you can avoid paying MLS by taking out an appropriate level of private health insurance hospital cover for the full financial year. All of GMHBA's hospital covers meet these requirements.

What is the new standard deduction for seniors over 65?

The new tax deduction for seniors 65 and older allows you to reduce your taxable income by up to $6,000. Taking the new senior deduction can mean less tax or potentially an even bigger tax refund when you file your return.

How much do you have to make to get $3,000 a month in Social Security?

To get around $3,000/month in Social Security, you generally need a high earning history, around $100,000-$108,000+ annually over your top 35 years, but waiting to claim until age 70 maximizes this amount, potentially reaching it with lower yearly earnings, say under $70k if you wait long enough, as benefits are based on your highest indexed earnings over 35 years. The exact amount depends heavily on your specific earnings history and the age you start collecting benefits. 

Does everyone have to pay $170 for Medicare?

Medicare Part A (pays for hospital stays) is usually free, but almost everyone has to pay $202.90 per month for Medicare Part B (pays for medical care). If you have a Part D, Medicare Advantage or Medicare Supplement plan, you'll have an extra monthly cost on top of paying for Part B.

Why is Social Security no longer paying Medicare Part B?

There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.

What is the new $6000 tax deduction for seniors?

Joint filers over 65 will be able to deduct up to $46,700 from their 2025 return. The standard deduction has been super-sized for seniors. Thanks to provisions in the One Big Beautiful Bill Act, taxpayers 65 and older can claim an additional $6,000 without itemizing their deductions.

What is one of the biggest mistakes people make regarding Social Security?

Claiming Benefits Too Early

One of the biggest mistakes people make is claiming Social Security benefits as soon as they're eligible, which is at age 62. While getting money sooner can be tempting, claiming early has a significant downside: your monthly benefit will be reduced.

What is the $600 rule in the IRS?

Initially included in the American Rescue Plan Act of 2021, the lower 1099-K threshold was meant to close tax gaps by flagging more digital income. It required platforms to report any user earning $600 or more, regardless of how many transactions they had.