Medicare in Alabama runs on federal rules, with free SHIP counseling through the Alabama Department of Insurance and cost-saving programs through the Alabama Medicaid Agency.
In This Guide
- Key Takeaways
- Original Medicare: Parts A and B
- Medicare Advantage in Alabama (Part C)
- Medicare Part D: Prescription Drugs
- Medigap in Alabama
- Help Paying for Medicare in Alabama
- Medicare Enrollment Periods
- Free Medicare Help: Alabama SHIP
- Frequently Asked Questions
About these numbers: The premiums and deductibles below come from CMS for calendar year 2026, effective January 1. Medicare costs change every year. For the most current figures, contact Medicare at 1-800-633-4227 (1-800-MEDICARE) or the Alabama SHIP through ALDOI.
Original Medicare: Parts A and B
Original Medicare is run directly by the federal government and comes in two parts. The mechanics and costs are the same in Alabama as everywhere else in the country.
Part A (Hospital Insurance)
Part A covers inpatient hospital stays, limited skilled nursing facility care, hospice, and some home health care.
| Cost | Amount |
|---|---|
| Monthly premium | $0 for most people (40+ quarters of work history) |
| Hospital deductible | $1,736 per benefit period |
| Hospital coinsurance, days 61-90 | $434 per day |
| Lifetime reserve days | $868 per day |
| SNF coinsurance, days 21-100 | $217 per day |
The hospital deductible rose $60 from 2025. A benefit period begins the day you're admitted to a hospital or SNF and ends 60 days after discharge. If you're readmitted after that gap, the deductible applies again.
Part B (Medical Insurance)
Part B covers doctor visits, outpatient care, preventive services, durable medical equipment, and mental health services. It does not cover routine dental, vision, or hearing.
- Monthly premium: $202.90 (higher if your 2024 income was above $109,000 for a single filer or $218,000 for a married couple, under the income-related adjustment)
- Annual deductible: $283
- After the deductible: you pay 20% of the Medicare-approved amount for most services
Part B is technically optional, but almost everyone takes it. Skip it without other creditable coverage and you'll owe a late penalty of 10% for every 12 months you could have had it, for as long as you keep Part B.
Medicare Advantage in Alabama (Part C)
Medicare Advantage plans are an alternative to Original Medicare, sold by private insurers. They cover everything Parts A and B do, except hospice, which Original Medicare keeps covering. Most bundle in Part D drug coverage and extras like dental, vision, and hearing.
Plan availability in Alabama varies by geography. Birmingham, Montgomery, Huntsville, and Mobile metros typically offer the widest selection of plans and carriers. Rural areas of the state, particularly in the Black Belt and parts of north Alabama, tend to have fewer plan choices. Plan options, networks, and costs change every year and differ by county, so check what's available at your specific address before you commit.
How These Plans Work
- You still pay the Part B premium ($202.90) on top of any plan premium. CMS estimates the average Medicare Advantage premium at about $14 a month in 2026, and many plans charge nothing extra.
- Plans run on networks (HMO or PPO). Confirm that your doctors and hospitals are in-network before enrolling.
- Plans typically require prior authorization for certain services, which Original Medicare generally does not.
- Every plan caps your annual in-network out-of-pocket spending (federally limited to $9,250 in 2026; many plans set it lower). Original Medicare has no such cap.
Use the Medicare Plan Finder at medicare.gov to compare plans by ZIP code. Enter your doctors and prescriptions to see which plans cover them and estimate your costs. An Alabama SHIP counselor through ALDOI can walk through the results with you at no charge.
Medicare Part D: Prescription Drugs
Part D covers outpatient prescription drugs. You can get it as a standalone plan alongside Original Medicare, or built into a Medicare Advantage plan.
The Inflation Reduction Act eliminated the coverage gap, the old donut hole, so that higher-cost middle stage is gone. Part D now moves through three phases:
- Deductible: you pay full drug prices until you meet your plan's deductible (up to $615 in 2026).
- Initial coverage: you pay copays or coinsurance while your plan and drug manufacturers cover the rest.
- Catastrophic: once your out-of-pocket spending reaches $2,100, covered drugs cost you nothing for the rest of the year.
That $2,100 cap is the figure that matters most in Part D. The average standalone Part D premium for 2026 is about $46.50 a month, though actual premiums vary by plan. Every plan must also offer the Medicare Prescription Payment Plan, which lets you spread your out-of-pocket drug costs into capped monthly payments across the year instead of paying in full at the pharmacy. People who qualify for Extra Help often pay much less, sometimes nothing.
Not sure which Part D plan fits your prescriptions? Chat with Brevy's care navigator at brevy.com.
Medigap in Alabama
Medigap policies are sold by private insurers to fill the gaps in Original Medicare: the deductibles, coinsurance, and copays. They work only with Original Medicare, not with Medicare Advantage.
Alabama uses the federally standardized plans, labeled A through N, regulated by ALDOI. Plans C and F are closed to anyone who first became eligible for Medicare on or after January 1, 2020. Plan G is the popular choice for people newly eligible: it covers the Part A deductible, Part A and Part B coinsurance, and skilled nursing coinsurance, leaving only the $283 Part B deductible on you.
Alabama has not adopted a birthday rule or any special guaranteed-issue protections beyond the federal standard. Your strongest opening is the federal Medigap Open Enrollment Period, the six months that start when you're 65 and enrolled in Part B. During that window an insurer must sell you any plan at the standard rate regardless of your health. Outside it, Alabama insurers may use medical underwriting, meaning they can review your health history, charge more, or decline you.
Medigap or Medicare Advantage?
You cannot hold both. Choose Medigap and you stay on Original Medicare with the freedom to see any provider who takes Medicare nationwide, paying a higher monthly premium. Choose Medicare Advantage and you trade some of that freedom for a provider network and often a lower upfront cost. For a side-by-side look at the trade-off, see our guide to Original Medicare vs. Medicare Advantage.
Help Paying for Medicare in Alabama
If you're on a fixed income, two programs can reduce your Medicare costs.
Medicare Savings Programs
Alabama runs its Medicare Savings Programs through the Alabama Medicaid Agency. The state uses the standard federal income tiers and resource limits, not higher state-set ones.
| Federal program | Individual monthly income | Couple monthly income | What it pays |
|---|---|---|---|
| QMB | Up to about $1,350 | Up to about $1,824 | Part A and B premiums, deductibles, coinsurance |
| SLMB | Up to about $1,616 | Up to about $2,184 | Part B premium |
| QI | Up to about $1,816 | Up to about $2,455 | Part B premium |
QMB is the most generous tier, covering your Part B premium plus your deductibles and coinsurance. Federal law prohibits providers from billing a QMB enrollee for that cost-sharing. For all three programs, the 2026 resource limit is $9,950 for one person and $14,910 for a couple. The income figures are tied to the Federal Poverty Level and update each April. You apply directly through the Alabama Medicaid Agency at medicaid.alabama.gov, and enrolling in any of these programs automatically qualifies you for Extra Help.
Extra Help for Part D
Extra Help, also called the Low-Income Subsidy, pays Part D premiums, deductibles, and copays for people with limited income and resources. Since 2024 the partial-subsidy tier is gone, so everyone who qualifies now receives the full subsidy.
- Income limit (2026): up to about $1,995 a month for an individual, $2,705 for a couple
- Resource limits: $16,590 for an individual, $33,100 for a married couple
- If you already qualify for QMB, SLMB, or QI, you're enrolled in Extra Help automatically
Apply through Social Security at ssa.gov or call 1-800-772-1213.
Medicare Enrollment Periods
Miss a deadline and you can face coverage gaps or permanent penalties. These dates are federal and the same in Alabama as every other state.
| Period | Dates | What you can do |
|---|---|---|
| Initial Enrollment | 7 months around your 65th birthday | Sign up for Parts A, B, and D; pick MA or Medigap |
| Annual Open Enrollment | Oct 15 - Dec 7 | Switch MA plans, move between MA and Original Medicare, change Part D |
| MA Open Enrollment | Jan 1 - Mar 31 | Switch MA plans or drop MA for Original Medicare (if already in MA) |
| General Enrollment | Jan 1 - Mar 31 | Sign up for Part B if you missed your initial window |
| Medigap Open Enrollment | 6 months from age 65 + Part B | Buy any Medigap plan at the standard rate, no health screening |
Changes made during Annual Open Enrollment take effect January 1. If you're already receiving Social Security before 65, you're enrolled in Parts A and B automatically; otherwise, you sign up through Social Security.
If you delay Part B without qualifying employer coverage, an 8-month Special Enrollment Period starts when that coverage ends. Miss it, and you wait for the General Enrollment Period and may owe a late penalty of 10% per 12-month delay, for as long as you keep Part B.
Free Medicare Help: Alabama SHIP
You don't have to sort this out alone, and you don't need to pay a broker. Alabama's State Health Insurance Assistance Program (SHIP) is run through the Alabama Department of Insurance. Counselors are trained volunteers who give free, unbiased help and do not sell insurance.
Alabama SHIP counselors can help you:
- Understand your Medicare options and what each part covers
- Compare Medicare Advantage, Part D, and Medigap plans side by side
- Apply for the Medicare Savings Programs and Extra Help
- Sort out billing questions, claims, and appeals
Because specific local contact details and hours vary, visit the ALDOI senior health insurance page for current contact information and to find a counselor near you.
Frequently Asked Questions
Most people pay $0 for Part A. The standard Part B premium is $202.90 a month with a $283 annual deductible. Part D premiums vary by plan (the 2026 average is about $46.50 a month), and many Medicare Advantage plans charge no extra premium on top of Part B. Your total depends on the plan you pick and the care you use.
No. Alabama has not adopted a birthday rule or any special open-enrollment window tied to your birthday. The federal Medigap Open Enrollment Period, a six-month window starting when you turn 65 and enroll in Part B, is your strongest guaranteed-issue window. Outside of it, Alabama insurers may use medical underwriting.
You apply through the Alabama Medicaid Agency at medicaid.alabama.gov. Alabama uses the standard federal income tiers: QMB covers premiums and all cost-sharing, SLMB and QI cover the Part B premium. The 2026 resource limit is $9,950 for an individual and $14,910 for a couple. Enrolling in any of these programs automatically qualifies you for Extra Help with Part D.
The Alabama SHIP, administered by the Alabama Department of Insurance (ALDOI), offers free and unbiased one-on-one Medicare counseling through trained volunteers. Visit the ALDOI senior health insurance page for contact details and local counselors.
Options are widest in the Birmingham, Montgomery, Huntsville, and Mobile metro areas. Rural areas, including much of the Black Belt, generally have fewer plan choices. Use the Medicare Plan Finder at medicare.gov to see exactly what's available at your address, or ask an Alabama SHIP counselor to help you compare.
Learn More
- Medicare: The National Guide
- Original Medicare vs. Medicare Advantage
- How Medigap Works
- Medicare Part D Drug Coverage
- Medicare Enrollment Periods
Find personalized help comparing your Medicare plan options in Alabama at brevy.com.
The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.