Many Medicare Advantage plans require that you pay a copay when you see a doctor. This is a fixed cost and an alternative to Original Medicare's 20 percent coinsurance.
Medicare Part B 2020 Cost
Medicare Advantage plans offer the ability to receive the same benefits as Original Medicare, but from a private insurer.
However even with the added flexibility that Medicare Advantage plans provide, you may still be responsible for out-of-pocket costs, including copays.
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A Medicare copay is the amount of money you're required to pay for a covered Medicare service or good. A copayment is typically a flat fee.
Medicare Part B (Medical Insurance) Costs. Part B monthly premium. Most people pay the standard Part B premium amount ($148.50 in 2021). Social Security will tell you the exact amount you’ll pay for Part B in 2021. You pay the standard premium amount if: You enroll in Part B for the first time in 2021. You don’t get Social Security benefits. For more information about Medicare Part B, see the Medicare web site at www.medicare.gov or call 800-MEDICARE (633-4227). WebMD Medical Reference Reviewed by Sarah Goodell on November 17, 2020.
Why Medicare Advantage?
![Medicare part b 2020 deductible Medicare part b 2020 deductible](/uploads/1/1/9/8/119854441/953525264.jpg)
In 2020, more than 34 percent of Medicare beneficiaries were enrolled in a Medicare Advantage plan.1
Many are likely drawn to the unique benefits of Medicare Advantage, as compared with Original Medicare:
- Medicare Advantage plans may often include additional benefits for prescription drugs, dental care, and vision care.
- The average premium for a Medicare Advantage plan that offers prescription drug coverage is $33.57 per month in 2021.2 Some plans may not have a monthly premium, and some may even help pay you back for your Medicare Part B premium.
- Medicare Advantage, unlike Original Medicare, comes with an out-of-pocket limit, which means your out-of-pocket spending will be capped.
- While plans are offered by private insurers, you are still guaranteed the benefits of Original Medicare.
Medicare Advantage costs
Medicare Advantage out-of-pocket costs can include:
- Medicare Part B premium
Even under Medicare Advantage, you must still pay your Part B premium (unless your plan helps pay for it). The standard Part B premium in 2021 is $148.50 per month. - Deductibles
Some plans require you to meet a deductible when seeing doctors, visiting hospitals, or getting your drugs filled. - Medicare copay
Many Medicare Advantage plans require that you pay a copay when you see a doctor. This is a fixed cost — and an alternative to Original Medicare’s 20 percent coinsurance. - Premiums
As noted above, the average monthly premium for Medicare Advantage plans with drug coverage is $33.57 per month in 2021.
Medicare Part B Tax Deductible 2020
Note: these costs may be higher (or lower), depending on your plan.
Compare Medicare plan costs
As you compare your options, you should weigh the costs of Medicare Advantage against the additional benefits you may receive, as compared to staying with Original Medicare.
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Read additional medicare costs guides to learn more about Medicare costs and how they will affect you.
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Medicare Part B Coinsurance Percentage 2020
1 Jacobson, G., et al. (Oct. 24, 2019). Medicare Advantage 2020 Spotlight: First Look. Kaiser Family Foundation. Retrieved from www.kff.org/medicare/issue-brief/medicare-advantage-2020-spotlight-first-look.
Medicare Part B Copay For 2020
2 MedicareAdvantage.com's The Best States for Medicare in 2021 report. (Oct. 27, 2020).
Medicare beneficiaries often buy “Medigap” insurance that pays for many of regular Medicare’s deductibles and copayments. But as a result of legislation just passed by Congress, starting in 2020 Medigap plans will no longer be allowed to offer coverage of the Medicare Part B deductible, which is currently $203 (in 2021). However, current Medigap policyholders and those buying policies before 2020 will still be eligible for the deductible coverage after that date.
Medicare Part B Copay 2020 Application
The change is an effort to help pay for so-called “doc fix” legislation that overhauls the way Medicare pays doctors and that is expected to cost $200 billion over 10 years. Medicare Part B covers doctor visits and other outpatient care, and currently Medigap plans C and F offer coverage of the Part B deductible. The reasoning behind making Medicare beneficiaries pay the deductible themselves is that it will cause them to think twice before going to a doctor and perhaps costing the Medicare system unnecessary money.