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Medicare costs can include premiums, deductibles, and copayments. For instance, most people don’t pay a premium for Part A if they or their spouse paid Medicare taxes for a certain amount of time. Part B requires a monthly premium, which can vary based on income. Part C and Part D plans also have their own costs, including premiums and out-of-pocket expenses. Medicaid typically has minimal costs for enrollees. Many states have eliminated premiums and cost-sharing for certain groups, but some states may charge nominal fees for certain services. Costs can also vary depending on income and the specific Medicaid program in your state.