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FEHB and Medicare calculator

FEHB vs Medicare at 65

The FEHB vs Medicare tool compares your yearly premium cost two ways at 65: FEHB alone, or FEHB plus Medicare Part B, with any income-based IRMAA surcharge added. It shows the premium side of the decision so you can weigh it against what each path covers.

The calculator

What the calculator shows

  • Yearly premium, FEHB alone, from your plan and enrollment type.
  • Yearly premium, FEHB plus Part B, with the standard Part B premium and any IRMAA tier.
  • The difference, per month and per year.
  • Any plan offsets you enter, such as a Part B reimbursement your plan offers.
  • A late-enrollment note if you plan to delay Part B.

Your inputs

Prefilled with an example so the result is never empty. Change any number; the result updates as you type.

Educational estimate on the assumptions you entered

$2,435

more a year to add Part B to your FEHB

Want this run on your own records? A Federal Retirement Consultant (FRCĀ®) checks the inputs with you, free.

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Part B for your income (2026)
$202.90 a month
FEHB only, per year
$3,000.00
FEHB plus Part B, per year
$5,434.80
Part B deductible (2026)
$283

Assumptions behind this estimate

  • Premiums are the current published figures with their dates; next year's will differ.
  • Out-of-pocket costs are not modeled.
  • IRMAA tier is based on the income you enter and can change each year.
  • Medicare Part D and Medicare Advantage are not compared here.

Educational estimate on the assumptions you entered, not a projection or a promise and not OPM's official computation. FFEBA is an education organization, not a financial advisor, and does not give personalized financial, tax or legal advice.

Inputs you will enter

  • Your FEHB plan and enrollment typePick from the current OPM premium table, or type your monthly share.
  • Annuitant or employeeAnnuitants pay monthly; employees pay biweekly.
  • Income from two years agoYour modified adjusted gross income and filing status, for the IRMAA tier.
  • Plan Part B reimbursementOptional, from your plan's brochure.
  • SpouseOptional, to add a second Part B premium.

How we compute it

We read your FEHB premium from OPM's current table (OPM, retrieved 2026-07-05) and annualize it. For the Part B path, we add the standard Part B premium and the IRMAA amount for your income tier, both from our IRMAA brackets page with their dates, then subtract any reimbursement you entered. IRMAA uses your tax return from two years before the premium year.

We do not estimate out-of-pocket costs. Those depend on your health and your plan's rules, and they are where Part B can save or cost you money.

A worked example

Your FEHB share is $300 a month, $3,600 a year. Adding Part B at the standard premium (the tool fills the current figure and date) raises the yearly total by twelve times that premium, minus any reimbursement your plan pays. If your income puts you in an IRMAA tier, that surcharge is added too. Educational estimate on the assumptions shown.

What to do with your numbers

Read FEHB and Medicare at 65 for how the two coordinate, and keeping FEHB in retirement for the 5-year rule. Compare plans on the FEHB premiums page.

This decision is hard to undo because of the late-enrollment penalty.

FFEBA is an education organization. If you want someone to look at your own numbers, we can match you with a Federal Retirement Consultant (FRC), a professional trained on federal benefits. The FRC designation is listed with FINRA. The first review is free, nothing is booked until you choose a time, and you are never obligated to work with anyone we introduce. Get matched with an FRC.

Questions about this calculator

Do federal retirees have to take Medicare Part B?

Most FEHB retirees are not required to enroll in Part B to keep FEHB. It is a choice with a cost on both sides. Postal Service retirees in the Postal Service Health Benefits program have their own Part B rules. Check OPM's PSHB pages if that is you.

What happens if I skip Part B at 65 and want it later?

Medicare charges a late-enrollment penalty added to your Part B premium for life, generally 10 percent for each full 12-month period you could have had Part B and did not. FEHB coverage as a retiree does not give you a special enrollment period. Coverage through current employment can.

Does FEHB pay less once I have Medicare?

When Medicare is primary, many FEHB plans waive deductibles and coinsurance for services Medicare covers, and some offer Part B premium reimbursement or Medicare Advantage options. What your plan does is in its brochure; this tool shows premiums only.

What is IRMAA?

IRMAA is an extra amount added to Medicare Part B and Part D premiums for people whose income from two years earlier was above set thresholds. Our IRMAA brackets page lists the current tiers with their source and date.

Reviewed by the FFEBA education team. Last reviewed October 2026.

Sources

  1. U.S. Office of Personnel Management, FEHB premiums 2026 (FFS and HMO rate files), retrieved 2026-07-05
  2. U.S. Office of Personnel Management, FEHB and Medicare, retrieved 2026-07-05
  3. Social Security Administration, Medicare premiums and IRMAA

Every government figure on this page carries its source and retrieval date. Worked examples are educational estimates on the assumptions shown, not a projection of any person's benefit. FFEBA is an education organization, not a financial advisor.