What You’re Not Told About Medicare Costs

July 23, 20243 min read

What You’re Not Told About Medicare Costs

💸 Understanding the real costs of Medicare—and how to protect your wallet.

“Beware of little expenses. A small leak will sink a great ship.” — Benjamin Franklin

When people first hear about Medicare, they often breathe a sigh of relief—thinking, “Finally, free healthcare!” But here’s the truth: while Medicare is an incredibly valuable benefit, it’s not entirely free—and the expenses can sneak up on you if you’re not careful.

At C & K Healthcare Advisors, we believe knowledge is your best financial defense. So let’s shine a light on the lesser-known Medicare costs—and how you can plan ahead with confidence and peace of mind.


🏷️ 1. The Part B Premium—It’s Not Optional

Everyone enrolled in Medicare Part B pays a monthly premium—and in 2025, that standard amount is $174.70. But it doesn’t stop there.

If your income is above certain thresholds, you’ll face an extra charge called IRMAA (Income-Related Monthly Adjustment Amount). That means higher-income earners will pay more for both Part B and Part D.

💰 IRMAA Example (2025):

If your 2023 income was:

  • Over $103,000 (individual)

  • Over $206,000 (married filing jointly)

👉 You could pay hundreds more per month than you expected. And unfortunately, many people don’t find out until the bill arrives.


💥 2. The “Surprise” Costs in Original Medicare

Even with Parts A and B, you’ll still pay out-of-pocket for things like:

  • $1,632 Part A deductible (per benefit period)

  • $240 Part B deductible (per year)

  • 20% coinsurance for Part B services

  • No out-of-pocket maximum under Original Medicare

📉 Real-World Example:

Let’s say you need $50,000 in outpatient treatments. With 20% coinsurance, you could be left holding a $10,000+ bill—unless you have extra coverage like a Medigap policy.


💊 3. Prescription Drug Costs—If You Choose Wrong

Part D helps cover your medications—but not all plans are created equal. Choosing the wrong one (or delaying enrollment) can get costly.

  • Plans have different premiums

  • Copays and coinsurance depend on the drug tier

  • Not every plan covers every medication

  • Late enrollment penalties apply if you miss your window

🔍 Pro Tip: It's not just about having a drug plan. It’s about choosing the right one for your personal medication list.


👀 4. What Medicare Doesn’t Cover at All

This might come as a surprise—but Original Medicare doesn’t cover many everyday health needs, such as:

  • Dental care (cleanings, crowns, dentures)

  • Vision exams and eyeglasses

  • Hearing aids and hearing exams

  • Long-term care (like assisted living)

  • Routine foot care and in-home custodial care

Unless you’ve added a Medicare Advantage plan or supplemental coverage, these costs are 100% on you.


🛡️ 5. How to Safeguard Against Medicare Gaps

Planning ahead can help you avoid surprise expenses. Here are a few smart ways to protect yourself:

Medigap (Supplement Plans): Helps cover deductibles, coinsurance, and gaps in Original Medicare
Medicare Advantage (Part C): Includes extra benefits and caps your annual out-of-pocket costs
HIP & CHAS Plans: Hospital Indemnity and Critical Illness plans pay cash directly to you when you need it most
Dental, Vision & Hearing Add-Ons: These benefits can be bundled or added separately to round out your coverage


💙 Why Work with C & K Healthcare Advisors?

Medicare isn’t cookie-cutter—and your financial health shouldn’t be either. At C & K Healthcare Advisors, we:

  • Break down Medicare costs in real-world language

  • Help you compare plans that truly fit your budget and lifestyle

  • Build custom strategies that make sense for you

  • Offer support, education, and compassionate care at every step

Trusted Care. Tailored for You.


🌟 Final Thought:

The biggest Medicare expense isn’t what you pay—it’s what you didn’t see coming.

Let C & K Healthcare Advisors help you navigate the twists and turns of Medicare costs, avoid costly surprises, and give you the freedom to focus on what matters most: enjoying your retirement with security and confidence.

Paul Castner is the President and CEO of C & K Healthcare Advisors, a nationally recognized insurance agency specializing in Medicare, life insurance, and retirement planning. With over a decade of experience, Paul began his career at one of the nation's top Medicare carriers, progressing from broker services to senior sales leadership. He co-founded C & K Healthcare Advisors in Pittsburgh, Pennsylvania, with a mission to serve communities with integrity and personalized care. Under his leadership, the agency has expanded nationwide, supporting over 300 licensed agents. Paul is a nationally published expert, featured on platforms like the Influential Entrepreneurs Podcast, where he shares insights on Medicare, life insurance, and niche retirement strategies.

Paul Castner

Paul Castner is the President and CEO of C & K Healthcare Advisors, a nationally recognized insurance agency specializing in Medicare, life insurance, and retirement planning. With over a decade of experience, Paul began his career at one of the nation's top Medicare carriers, progressing from broker services to senior sales leadership. He co-founded C & K Healthcare Advisors in Pittsburgh, Pennsylvania, with a mission to serve communities with integrity and personalized care. Under his leadership, the agency has expanded nationwide, supporting over 300 licensed agents. Paul is a nationally published expert, featured on platforms like the Influential Entrepreneurs Podcast, where he shares insights on Medicare, life insurance, and niche retirement strategies.

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