Medicare Part A, B, C, and D: What you need to know

August 12, 2025
4 minute read

Medicare Parts A, B, C, and D are the four distinct types of coverage available to eligible individuals. Each Medicare part covers different healthcare-related costs.

While Medicare Part A and Medicare Part B are administered by the Centers for Medicare & Medicaid Services (CMS), Medicare Part C and Medicare Part D are managed by private insurance companies.

Medicare is similar to the health insurance coverage you’ve probably had with an employer or an individual policy. 

  • It can cover doctor visits, inpatient and outpatient hospital care, prescription drugs, and lab tests.

  • Depending on the plan you choose, your Medicare plan can also cover dental and vision, if you like.

Here’s a brief overview of each of the parts of Medicare:

What is Medicare Part A?

Medicare Part A (also known as hospital insurance) is a basic insurance plan that covers medical services related to inpatient hospitalization and skilled nursing care.

It is offered at low or no cost to Americans who are 65 years old and have contributed toward Social Security, as well as other qualified individuals.

What Medicare Part A covers:

  • Inpatient care in a hospital

  • Skilled nursing facility care

  • Inpatient care in a skilled nursing facility

  • Hospice care

  • Home health care

How much does Medicare Part A Cost in 2025?1

If you or your spouse have worked at least 10 years in any job where you paid Social Security taxes, you do not have to pay a premium for Part A.

  • Premium: $0 per month

  • Deductible: $1,676 for each benefit period

The 2025 Medicare Part A premium for those who do not qualify for $0 premiums is either $285 or $518 per month, depending on how long you worked and paid Medicare taxes.

Enrollment Period for Medicare Part A

You’re eligible to enroll in Medicare Part A during your Initial Enrollment Period (IEP), which is the seven-month period around your 65th birthday.

  • Your IEP begins three months before the month of your 65th birthday.

  • This includes your birth month, and lasts up to three months after your birthday month.

When you apply for Social Security benefits, you’re automatically enrolled in Medicare Part A.

What is Medicare Part B?

Medicare Part B (also known as medical insurance) is an insurance plan that covers medical services related to outpatient and doctor care.

Part B covers medically necessary care and treatment, including:

  • Medically necessary services or supplies

  • Preventive services

  • Clinical research

  • Ambulance services

  • Durable medical equipment

  • Mental health services

  • Getting a second opinion before surgery

  • Limited outpatient medications

How much does Medicare Part B cost?

The standard costs for Medicare Part B in 2025 are:1

  • Premium: $185 per month (or higher depending on your income)

  • Deductible: $257

  • Coinsurance: 20%2

Enrollment Period for Medicare Part B

Same as Part A: a 7-month window surrounding your 65th birthday. Enrollment is automatic if you are receiving Social Security or Railroad Retirement Board benefits.

What is Medicare Part C?

Medicare Part C, also called Medicare Advantage, includes the coverage benefits of Medicare Parts A and B. It often offers prescription drug benefits and additional services like dental and vision.

Medicare Part C plans may cover:

  • Part A and Part B

  • Prescription Drugs (Part D)

  • Vision

  • Hearing

  • Dental

  • Health and wellness programs

How much does Medicare Part C cost in 2025?3

  • Estimated average premium: $17 per month

  • Costs and coverage vary by plan and provider

Enrollment Period for Medicare Part C

You can enroll during your Initial Enrollment Period, but you must already have Medicare Parts A and B. Enrollment is done through a private insurance company.

What is Medicare Part D?

Medicare Part D offers prescription drug coverage and is provided by private insurance companies.

How much does Medicare Part D cost in 2025?4

  • Estimated average premium: $39 per month

  • Deductible: Up to $590 (varies by plan)

Enrollment Period for Medicare Part D

Same 7-month Initial Enrollment Period as Parts A, B, and C. Enrollment must be completed through an insurance company.

Medicare costs at a glance 2025

Curious how much Medicare might cost in 2025?

Here’s a quick side-by-side look at premiums, deductibles, and key details for each part of Medicare.

Medicare Part

2025
Premium

2025 Deductible

Notes

Part A

$0, $285, or $518/month

$1,676 per benefit period

Based on work history

Part B

$185/month

$257/year

20% coinsurance after deductible

Part C

~$17/month (average)

Varies by plan

May include dental, vision, prescription drugs

Part D

~$39/month (average)

Up to $590

Deductible and coverage vary by plan

When can I enroll in Medicare Part A, B, C, and D?

Which Medicare part is right for me: Medicare Part A, B, C, or D?

Which Medicare part(s) you choose depends on what medical services you want covered. Here’s a quick recap of what’s covered under Parts A, B, C, and D:

Part A Part B Part C
(Medicare Advantage)
Part D
Hospital Insurance:

  • Inpatient hospital visits
  • Skilled nursing care
  • Home health care
  • Hospice care
Medical Insurance:

  • Doctor visits
  • Outpatient care
  • Lab tests
  • Ambulance services
  • Some medical equipment
  • Hospital Insurance
  • Medical Insurance
  • Prescription Drugs (not all plans)
  • Vision (not all plans)
  • Dental (not all plans)
Prescription Drugs

5 questions to help you pick the right Medicare plan

To figure out which type of Medicare coverage is right for you, it helps to review your needs each year. Start by asking yourself these five questions:

  1. How much can I afford in out-of-pocket expenses?

  2. Do I want to keep my current doctors and providers?

  3. What prescriptions do I take regularly?

  4. Do I need coverage while traveling?

  5. Which hospitals or clinics are most convenient for me?

Answering these questions is a great place to start. Still have questions? Call (800) 827-9990 to speak with a licensed health insurance agent or find one in your area.

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© 2024 HealthMarkets Insurance Agency. All rights reserved.

To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week).

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

52543-HM-0825

© 2024 HealthMarkets Insurance Agency. All rights reserved.

To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week).

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

52543-HM-0825

© 2024 HealthMarkets Insurance Agency. All rights reserved.

To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week).

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

52543-HM-0825