Medicare is not free. Here’s how to think through Part B, Medicare Supplement, Medicare Advantage, Part D, and the common gaps people forget to budget for.
Hi, I’m Brian Penner with Medicare On Main. I’ve been helping people with Medicare since 2005, and one of the biggest surprises I see is this: people think Medicare is free.
It isn’t.
Medicare can still be a great system, but you need to understand what you’ll pay every month, what you could pay when you use care, and what gaps you may want to protect against.
For most people in Utah, the real question is not just “what is my premium?” The better question is, “what is my total Medicare risk?”
In 2026, the standard Medicare Part B premium is $202.90 per month, and the Part B deductible is $283. Higher-income beneficiaries may pay more because of IRMAA. Medicare.gov lists the 2026 Part B premium at $202.90, and CMS lists the 2026 Part B deductible at $283.
Original Medicare includes Part A and Part B. Most people do not pay a monthly premium for Part A if they worked enough quarters, but Part B usually has a monthly premium.
The big thing to understand is that Original Medicare by itself does not have a simple annual out-of-pocket maximum. That’s why many people add either a Medicare Supplement plan or choose a Medicare Advantage plan.
With a Medicare Supplement plan, you usually pay a higher monthly premium, but you may have more predictable medical costs and more flexibility when traveling.
With a Medicare Advantage plan, you may have a lower monthly premium, but you need to understand copays, networks, prior authorizations, maximum out-of-pocket limits, and prescription coverage.
Neither option is automatically better. It depends on your doctors, prescriptions, budget, health, and how you feel about networks.
The costs people forget are usually not the obvious ones. They remember the premium, but forget about dental work, hearing aids, glasses, hospital copays, prescription changes, cancer costs, and long-term care.
That’s where planning matters. A cheap plan is not always cheap if it leaves you exposed in the wrong area.
I built a Medicare Cost Calculator so you can compare the real monthly costs between a Medicare Supplement setup and a Medicare Advantage setup.
No. Most people pay a monthly Part B premium, and many people also pay for a Medicare Supplement plan, Part D plan, or other coverage.
The standard Medicare Part B premium in 2026 is $202.90 per month.
Medicare Supplement plans usually cost more monthly but may be more predictable. Medicare Advantage plans may have lower premiums but can include copays, networks, and out-of-pocket limits.
Original Medicare generally does not cover routine dental, vision, hearing aids, or long-term custodial care. Some people add coverage or choose plans that include extra benefits.
Give me a call and we’ll walk through your real numbers together.