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Generally, the cost for Medicare is deducted from your Social Security benefits, unless you wait to start receiving SS after you are 65. The costs of Medicare are set by the federal government. The costs can be affected by your income. There is Part A, Part B, and possibly Part C and Part D.
https://www.medicare.gov/your-medicare-costs
What exactly do you mean - Can I reduce medicare expenses in 2021?
What expenses are your referring to and why ask about 2021?
Medicare pays 80% of your qualified medical expenses as long as you pay the Medicare premium each month and after the Part B deductible is satisfied.
Go to this Medicare website for current costs - https://www.medicare.gov/your-medicare-costs/medicare-costs-at-a-glance
Are you talking about the Medicare premium going up because you made too much income the past year or two? That happened to my friend one year. She cashed in some savings bonds. If you income goes back down then the premium should go down too. But there is a year or two lag.
Here's an article with a chart of premiums
https://www.medicare.gov/your-medicare-costs/part-b-costs
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