2026 Medicare Costs & Coverage Guide

Transparent estimates for 2026 Medicare costs. No pressure. No hidden pricing. See how income, prescriptions, and coverage choices affect what you pay.

Your Medicare Cost Inputs

$55,000
Educational estimate only. Final costs depend on ZIP code, plan availability, income verification, and prescriptions.

Your Estimated 2026 Costs

Part B Premium (Standard) $202.90
IRMAA Adjustment (Estimated) $0.00
Prescription Drug Estimate $38.99 / month
Estimated Monthly Cost $241.89
Estimated Annual Cost $2,902.68

Medigap vs Medicare Advantage

Most Medicare beneficiaries choose one of these two paths for cost protection. Each works very differently — and which is right depends on how you want costs to behave over time.

How Medigap Works

  • Predictable medical costs year-round
  • No provider networks — nationwide access
  • Covers deductibles and coinsurance gaps
  • Higher monthly premium, fewer surprises
  • Ideal for frequent care or travel

Best For

  • People who want cost certainty
  • Those who travel or live in multiple states
  • Beneficiaries who prefer fewer billing surprises

How Medicare Advantage Works

  • Lower monthly premiums in many areas
  • Annual out-of-pocket maximum included
  • Uses provider networks (HMO / PPO)
  • Extra benefits like dental & vision
  • Costs vary by county & ZIP code

Best For

  • Budget-focused beneficiaries
  • Those comfortable with managed care
  • People who want an annual cost ceiling

IRMAA — Why Income Can Quietly Raise Medicare Costs

IRMAA (Income-Related Monthly Adjustment Amount) is an additional charge added to Medicare Part B and Part D premiums when income exceeds certain thresholds. Many people don’t discover IRMAA until premiums increase — without warning.

How IRMAA Is Triggered

IRMAA is based on income reported to the IRS from prior tax years. Medicare automatically applies it when income crosses federal thresholds — no enrollment decision is required.

Why It Catches People Off Guard

Life events such as retirement, asset sales, business income, or required distributions can temporarily inflate income, triggering IRMAA even when future income drops.

IRMAA Can Be Appealed

Certain life-changing events allow Medicare beneficiaries to request an IRMAA reconsideration. Proper documentation is critical for a successful appeal.
Important: IRMAA is not a penalty and not permanent. It is recalculated annually and may be reduced or removed when income changes — but only if handled correctly.

Why May River Medicare Is Different

We believe Medicare decisions should be made with clarity — not pressure. You see real options first, understand the costs, and stay in control at every step.

Radical Transparency

No hidden pricing. No sales tactics. We show estimates, explain variables, and only then help you compare real plans.

Education Before Enrollment

You understand Medicare first — costs, IRMAA, coverage tradeoffs — before any application or commitment.

Truly Independent

We compare carriers nationwide by county and ZIP code. We don’t push plans — we match coverage to your needs.

This page provides educational estimates only. Final pricing depends on county, income verification, medications, and plan availability.

Compliance, Accuracy & Transparency

Medicare information should be clear, compliant, and easy to understand. This guide is designed to educate — not pressure — and to help you make informed decisions.

Educational Estimates Only

Cost figures shown on this page are general estimates based on published Medicare data and common averages. Actual premiums, benefits, and availability vary by county, ZIP code, income verification, and plan enrollment periods.

Licensed, Independent Guidance

May River Medicare is an independent agency. We are not owned by any insurance carrier and do not promote one plan over another. Final plan details are always reviewed with a licensed Medicare advisor or through secure self-service tools.

Medicare Supplement and Medicare Advantage plans are offered by private insurers. Availability, benefits, and costs may change annually. This website is not affiliated with the U.S. government or Medicare.

Understand Medicare Before You Choose

Medicare decisions should never be rushed. Understanding how coverage works — before comparing plans — helps prevent long-term cost surprises.

How Original Medicare Really Works

Original Medicare includes Part A (hospital coverage) and Part B (medical coverage), but it does not include an annual out-of-pocket maximum. This is why many beneficiaries explore Medicare Supplement (Medigap) or Medicare Advantage plans for cost protection.

Why County & ZIP Code Matter

Medicare plans are approved and priced at the county level. Benefits, premiums, and provider access can change dramatically depending on where you live. Learn more in our national service area guide.

Income, IRMAA & Hidden Costs

Higher income levels may trigger IRMAA — an income-based adjustment that increases Part B and Part D premiums automatically. Many people discover IRMAA only after premiums increase.

Education Before Enrollment

May River Medicare believes education should come first. Our tools allow you to explore options independently, without pressure, before speaking to a licensed advisor.

Independent & Unbiased

May River Medicare is not tied to any single carrier. We compare plans objectively — based on what works best for you.

Radical Transparency

You see options, estimates, and plan structures first. No pressure. No hidden pricing. No obligation.

Nationwide Expertise

Our technology and licensed advisors serve beneficiaries across the United States — by county and ZIP code.

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