Home / Medicare costs and rates
Two retired friends on a couch looking over details on a smartphone together

Medicare is not free, and the amounts change every January. For a lot of Owings Mills households, especially those helping a parent on a fixed income, the first question is simple: what will this cost each month, and what could it cost in a bad year? This page puts the official numbers in one place. We list the 2026 amounts in effect now, and the 2027 amounts the government has already set.

Timing note: the 2027 Part B premium and deductible and the 2027 Part A deductible are usually announced in mid November. As of November 14, 2026 they had not been released. We will add them here as soon as they are, or call (410) 896-1212 for the latest.

Part A costs in 2026

Most people pay no Part A premium. What you pay comes when you use hospital care:

Part A item (2026)Amount
Inpatient hospital deductible, per benefit period$1,736
Hospital days 61 to 90, per day$434
Lifetime reserve days, per day$868
Skilled nursing facility days 21 to 100, per day$217

A benefit period starts when you are admitted and ends after you have been out of the hospital or skilled nursing care for 60 days in a row. That means one person could owe the $1,736 deductible more than once in a single year.

Here is how that plays out. Say a retiree living near the Owings Mills Metro station is admitted to Northwest Hospital in March for a few days, goes home, and is admitted again in June. Because more than 60 days passed, that is two benefit periods and two deductibles: $3,472 on Original Medicare alone, before any doctor bills under Part B. A Supplement plan or an Advantage plan's out of pocket limit changes that math a great deal.

Part B costs in 2026

Part B item (2026)Amount
Standard monthly premium$202.90
Yearly deductible$283
Coinsurance after the deductibleUsually 20% of the Medicare approved amount, with no yearly limit

The income surcharge (IRMAA)

Higher earners pay more for Part B and Part D. For 2026, the surcharge applies to individuals whose modified adjusted gross income from two years earlier (2024) was above $109,000, or above $218,000 for married couples filing jointly. If your income dropped because you retired, you can ask Social Security to use a more recent year, and we can show you how.

Part D costs: 2026 and 2027

Part D standard benefit20262027
Maximum deductible$615$700
Yearly out of pocket cap on covered drugs$2,100$2,400

Those are the most a plan may use. Many plans set a lower deductible, or none on some drug tiers. Premiums vary by plan, and a federal program that helped hold down standalone drug plan premiums ends after 2026, so some people will see bigger premium changes for 2027. That is a good reason to review your drug plan this fall.

A smiling retired woman riding a vintage bicycle through a flower garden
Good health habits help, but planning for an expensive year is what a Medicare budget is really about.

Supplement and Advantage costs

Medicare Supplement

Supplement plans charge a monthly premium that depends on the carrier, your age, gender, tobacco use and ZIP code. In return, your costs for Medicare approved care are low and predictable. With Plan G, for example, you pay the Part B deductible each year and the plan covers the remaining Medicare approved costs. High Deductible Plan G works the same way after you meet a yearly deductible, which is $2,950 in 2026 and $3,050 in 2027, in exchange for a lower premium. Rates can change without notice.

Medicare Advantage

Many Advantage plans in Baltimore County have low or $0 plan premiums, but you pay copays and coinsurance as you use care, up to the plan's yearly out of pocket limit. A quiet year can be inexpensive. A year with surgery or a hospital stay will cost more. You also keep paying your Part B premium. Our plan options guide compares the two side by side.

Penalties that raise your costs for life

  • Part B late penalty: 10% added to your Part B premium for each full 12 month period you could have had Part B but did not, unless you had qualifying employer coverage.
  • Part D late penalty: 1% of the national base beneficiary premium for each month you went without creditable drug coverage after your first chance to enroll. The base premium is $38.99 in 2026 and $41.33 in 2027.

Both penalties are avoidable with good timing. Our enrollment guide explains the windows.

Help paying for Medicare

If money is tight, Maryland's Medicare Savings Programs can pay Part B premiums and sometimes more, and the federal Extra Help program lowers drug costs. Eligibility is decided by Maryland Medicaid and Social Security, not by us, but we are glad to point you in the right direction.

Cost questions

When will the 2027 Part B premium be announced?

The federal government usually announces the next year's Part B premium, deductible and Part A amounts in mid November. As of November 14, 2026 the 2027 figures had not been released. We will update this page when they are, and you can call us any time for the latest numbers.

Do Medicare Supplement prices differ in Owings Mills?

Supplement premiums depend on the insurance company, your age, gender, tobacco use and where you live in Maryland. Two carriers can charge noticeably different prices for the exact same plan letter, so it pays to compare. Rates can change without notice.

Want real prices for your age and ZIP code? Call (410) 896-1212 and we will run them with you.

A note from Peter

Budgets matter. Before anyone enrolls with us, we lay out the monthly premium and what a rough year could cost, so there is no guessing. Ask us for both numbers.

Peter Palmiotto, founder, East Coast Health Advisors

Get prices by email

.