Concerned about the Medicare Part B premium? D-SNP may be a fit for you

When living on a fixed income in retirement, it’s important to regularly review your expenses. This will help ensure you’re not overextending yourself financially. But some expenses, like the Medicare Part B premium, can be a burden for those who rely on Social Security.

While Medicare is an essential benefit, retirees may be concerned about the cost, especially after receiving their Social Security benefit statements. A lower-than-expected payment may cause some beneficiaries to worry if they can continue to afford their Medicare coverage.

Fortunately, there are Medicare plans specifically designed to help low-income seniors. If you qualify for both Medicare and Medicaid, a Dual Special Needs plan (D-SNP) can help lower your costs.

The Medicare Part B premium is the cost that beneficiaries must pay each month for coverage. The premium is based on health care costs and projected usage. The Part B premium changes almost every year but cannot increase more than Social Security.

For 2026, the standard Medicare Part B premium is $202.90 per month for individuals. If you earned income above a specific threshold two years ago, your Mediare Part B premium may be higher.

If you receive Social Security, your Part B premium will be deducted automatically. The deduction will appear on your Social Security benefits statement.

The Medicare Part B premium is calculated based on income earned two years prior. Those who earned $109,000 or less will pay the standard premium. Individuals who earned more than $109,000 will pay a higher premium.

Those enrolled in a D-SNP who qualify for benefits from their state Medicaid program may have their Part B premium paid for. If you’re eligible for full Medicaid benefits, your state’s program will pay the Part B premium. If you receive partial benefits, your state’s Medicaid program may pay for some of the Part B premium.

Note that state Medicaid programs have different eligibility standards, which affect how much financial support can be provided.

If you qualify for a Medicare Savings Program (MSP) or if you’re enrolled in both Medicare and Medicaid, you may qualify for a D-SNP. You must also live within a plan’s coverage area to enroll.

Another way of saving on Medicare premiums is through an MSP. If you qualify based on income, an MSP may pay for some or all of your Medicare costs.

Note that MSPs are not a type of Medicare plan and do not offer the additional benefits that D-SNPs can offer.