COLA Ledger

An independent reference — not affiliated with the Social Security Administration. Every figure traced to the government publication that produced it.

2018 Medicare Part B premium — $134.00

Standard monthly Part B premium, 2018

$134.00

Unchanged from 2017. The annual deductible was $183.

Standard premium
$134.00per month
Annual deductible
$183
Change on 2017
none
Highest tier
$428.605 income brackets

What it did to a Social Security payment

The Part B premium is withheld from the Social Security payment, so it lands in the same January as the cost-of-living adjustment and the two move against each other. A $2,000 monthly benefit in 2017 became $2,040 gross with the 2.0% adjustment — a rise of +$40. After the premium went from $134.00 to $134.00, the payment rose +$40, an effective 2.14%.

A $2,000 benefit through the 2018 adjustment and premium
20172018
Gross monthly benefit$2,000$2,040
Part B premium$134.00$134.00
Net payment$1,866$1,906

The full ledger for a $2,000 benefit at current rates carries the annual figures and the percentile context.

The 2018 income-related tiers

Anyone whose modified adjusted gross income on the 2016 tax return crossed the first threshold paid more than the standard premium. The adjustment is a flat dollar amount per tier, not a percentage of income, and it steps at the bracket boundary rather than phasing in.

2018 Medicare Part B income-related monthly adjustment, by 2016 modified adjusted gross income
SingleMarried filing jointlyAdjustmentTotal Part B
Up to $85,000Up to $170,000none$134.00
$85,001 to $107,000$170,001 to $214,000$53.50$187.50
$107,001 to $133,500$214,001 to $267,000$133.90$267.90
$133,501 to $160,000$267,001 to $320,000$214.30$348.30
$160,001 and above$320,001 and above$294.60$428.60

The 2018 brackets in detail, including the reconstruction check — every tier is verified against the statutory multipliers as well as against the notice.

Related

Sources and freshness

Every year page draws on that year’s own Federal Register notice, retrieved from govinfo rather than from cms.gov.

Figures effective 1 January 2018. Page figures last verified against the sources above on 10 August 2026. Corrections: the correction log · support@inventum.com.au