Assistance program
Medicare Supplementary Medical Insurance
$3.9 Trillion committed in FY2018–FY2026
- Agency
- Centers for Medicare and Medicaid Services, Health and Human Services, Department of
- Assistance
- Direct Payments for Specified Use
- CFDA number
- 93.774
- What it does
- To provide medical insurance protection for covered services to persons age 65 or over, to certain disabled persons and to individuals with end-stage renal disease. Enrollment in Part B is voluntary.
- Who benefits
- All persons who qualify for hospital insurance, and those who do not qualify for hospital insurance but meet eligibility requirements and choose to purchase Part "B".
- Who applies
- All persons who are eligible for premium-free hospital insurance benefits (see 93.773), and persons age 65 and older who reside in the United States and are either citizens or aliens lawfully admitted for permanent residence who have resided in the United States continuously during the five years immediately preceding the month in which the application for enrollment is filed, may voluntarily enroll for Part B supplementary medical insurance (SMI). The beneficiary pays a monthly premium and an annual deductible. Beginning in calendar year 2008, the Part B premiums have been set based upon beneficiary income. The calendar year 2024 premiums range from $174.70 to $594.00 per month. The annual deductible is $240.00. Some States and other third parties may pay the SMI PART B premium on behalf of qualifying individuals.
- Authorized by
- Social Security Act Title XVIII, Section 1831.
- Program site
- http://www.cms.hhs.gov ↗
Committed by fiscal year
* FY2026 is year-to-date — the fiscal year is still in progress, so its total is still filling in. The striped band and dashed line mark that provisional stretch.
Recipients
This program's money is paid out as non-itemized direct payments — USAspending records it under a single aggregate, so individual recipients aren't listed. The dollars and agencies above are complete; the recipient roster isn't part of the public record for programs like this.
How to read these numbers
- Committed through this program
Money committed under this assistance listing (its CFDA program), counted in the year each action happened.
- How it's paid
Most programs pay out one way — a grant, or a direct payment to individuals; the flow bar only appears when a program genuinely mixes types.
- Some recipients aren't itemized
For entitlement programs like Social Security and Medicare, the government reports one aggregate instead of naming tens of millions of people, so the recipient roster isn't part of the public record.
- Awards, counted once
An award count is the number of distinct awards with at least one action that year — each counted once, however many times it was amended.
- The colored bars
Every bar on this page splits by how the money moves:
Direct payments