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Medicare 2021 Fact Sheet

A, B and D Cost Changes

Part A Costs

Part A Monthly Premium:

  • If you worked 40 or more quarters, generally there is no Part A premium
  • If you worked less than 40 quarters, there is a premium for Part A:
    $471 per month—0 to 29 quarters
    $259 per month—30 to 39 quarters

Hospital Stay Deductible and Costs:

  • $1,484—Deductible each benefit period
  • $371 per day—For days 61 thru 90 each benefit period
  • $742—For lifetime reserve days (after each 90-day benefit period, up to 60 days over your lifetime)

Skilled Nursing Facility Stay:

  • $0—For the first 20 days each benefit period
  • $185.50 per day—For 21 to 100 days in benefit period

Part B Costs

Part B Monthly Premium:

  • $148.50—If income is under $88,000 per year single; $176,000 couple
  • Greater than $148.50—If you are subject to an IRMMA (income is over $88,000 per year single; $176,000 couple)
  • If you are enrolled in QMB and SLMB the State will pay the full Part B premium of $148.50 per month for those who meet the income and asset guidelines for these programs. 
  • If you were enrolled in QMB or SLMB in 2020 and lost the benefit because your income rose or you failed to re-certify, you will pay $148.50 per month.

Part B Deductible:

  • The first $203 yearly.

Assistance with Medicare Part D

Extra Help: 2021

  • 2021 Benchmark—$29.65
  • If premium is over the benchmark by $2 or less, some standard plans do not charge the difference
  • Full Dual Eligibles—On Medicare and Medical Assistance (red and white card) Extra Help: generic $1.30; brand $4.00
  • Full Extra Help—(Those who quality for QMB or SLMB) Extra Help: generic $3.70; brand $9.20

Maryland Senior Prescription Drug Assistance Program

  • Will pay up to $50 towards the monthly Medicare Part D Plan's premium

2021 Standard Medicare D Plan:

  • A monthly premium
  • May be a deductible of no more than $445
  • Initial coverage period lasts until the total amount spent on Part D drugs reaches $4,130 (includes amounts paid by plan, as well as the beneficiary, who typically pays less than 25 percent of retail cost for brand drugs and up to 100 percent of retail cost for generics).
  • Coverage gap period, known as the donut hole. Beneficiary will pay 25 percent of retail for brand drugs and 25 percent of retail for generics.
  • Catastrophic coverage period starts when total out-of-pocket threshold of $6,550 is reached (at this time the full cost of drugs to date has reached approximately $10,000). Within this period, brand and generic drugs will cost five percent of retail or less for the remainder of the calendar year.
Revised November 23, 2020         


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