Medicare Cost Estimator
How to Use This Tool ▾1) Coverage Type
3) Expected Yearly Use (Counts)
4) Per-Service Copays / Coinsurance (Edit to match your plan)
5) Prescriptions & Limits
This tool is for educational estimates only and does not provide financial or medical advice. Check your plan documents for exact premiums, benefits, deductibles, and copays. Costs vary by region and change annually.
Frequently Asked Questions (FAQ) About Medicare Costs After 60
Q1: How much does Medicare cost when I turn 60 or 65?
Medicare eligibility generally starts at 65 (unless you qualify earlier due to disability). The standard Part B premium in 2025 is about $175/month. Most people also add a Part D drug plan (around $45/month) and possibly a Medigap policy (often $150–$200/month). Altogether, many seniors spend between $6,000–$8,000 per year on Medicare premiums and basic medical expenses.
Q2: What is the difference between Medigap and Medicare Advantage?
- Medigap (Supplemental Insurance): Higher monthly premiums, but much lower costs when you see a doctor or go to the hospital. You can see almost any doctor nationwide.
- Medicare Advantage (Part C): Lower (sometimes $0) premiums, but you pay more as you use services. Advantage plans also limit you to provider networks, similar to an HMO or PPO.
Q3: Does Medicare cover dental, vision, and hearing?
Original Medicare does not cover routine dental, vision, or hearing services. Some Medicare Advantage plans may include limited coverage, but seniors often need separate dental, vision, or hearing insurance.
Q4: What is MOOP and why is it important?
MOOP stands for Maximum Out-of-Pocket — the most you will pay for covered medical services in a Medicare Advantage plan in one year. In 2025, typical MOOP limits range from $4,500 to $8,300. Once you hit that limit, your plan pays 100% of covered costs for the rest of the year. (Note: this doesn’t include prescription drugs, which have separate costs.)
Q5: How do I estimate my personal Medicare costs?
Add up your:
- Monthly premiums (Part B, Part D, Medigap or Medicare Advantage)
- Expected doctor visits, hospital days, and copays
- Average monthly prescription costs
Or, use our Medicare Cost Estimator Tool above for a quick calculation tailored to you.
Q6: Will Medicare take my whole Social Security check?
No. Most people have their Part B premium deducted directly from their Social Security payment, but you will still receive the rest of your monthly benefit. Planning ahead for additional premiums and drug costs helps avoid surprises.
Q7: Can I lower my Medicare expenses?
Yes. You can:
- Shop for plans every year during Open Enrollment
- Use generic prescriptions or 90-day mail orders
- See if you qualify for Extra Help or a Medicare Savings Program
- Take advantage of Medicare’s free preventive services
