Changes for 2023 include premium & deductible increases for Part A, lower rates for Part B, and better Part D coverage due to the Inflation Reduction Act.


  • The Standard Part B premium is decreasing to $164.90 for 2023.
  • The Part B deductible is also decreasing to $226 in 2023.
  • Part A premiums, deductible and coinsurance are all increasing for 2023.
  • The income brackets for high-income premium adjustments for Medicare Part B and D will start at $97,000 in 2023 (up from $91,000 in 2022).
  • Medicare Advantage enrollment is expected to continue to increase in 2023 and average premiums are decreasing.
  • Kidney transplant recipients can keep limited Part B coverage for life, to cover immunosuppressive drugs (full Part B ends 36 months post-transplant).
  • The maximum allowable out of pocket cap for Medicare Advantage plans is increasing to $88,300 in 2023 (but most plans have lower out-of-pocket caps).
  • Part D donut hole no longer exists, but a standard plan’s maximum deductible will increase to $505 in 2023, and the threshold for entering the catastrophic coverage phase (where out of pocket spending decreases significantly) will increase to $7,400. But the Inflation Reduction Act will ensure that Part D enrollees no longer have to pay for covered vaccines, and will have access to insulin for no more than $35/month.

There are changes to Original Medicare cost-sharing and premiums, the high-income brackets and more.

The standard premium for Medicare Part B is $170.10/month in 2022, BUT it’s decreasing to $164.90/month in 2023. This is the first year-over-year decrease since 2012. Since Medicare Part B spending was lower than expected in 2022, it left a surplus that is being used to decrease premiums for 2023.

We always tell individuals to check with your current medical provider, review their increases/decreases and any additional medical care that may be added for 2023. How is your health? Better than 2022 or needing more health care? Many individuals are better to go straight Medicare and look at a Secondary Insurance policy – but again, the Advantage Plans are offering so much more and the enrollment in the Advantage Plans has been steadily growing for more than 15 years, outpacing overall Medicare enrollment growth.

For more information on Medicare Benefits for 2023, go to:

Brenda Dever-Armstrong, CEO/Owner/CSA
The Next Horizon Seniors & Military