Can’t Increase Medicare Premium More Than Social Security Hike?

by | Last updated on January 24, 2024

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A: A policy known as the “hold harmless” provision protects many Medicare beneficiaries by essentially capping Medicare Part B premiums so increases aren’t higher than Social Security’s Cost of Living Adjustment (COLA).

Will the Medicare premium increase in 2021?


In November 2021, CMS announced the monthly Medicare Part B premium would rise from $148.50 in 2021 to $170.10 in 2022

, a 14.5% ($21.60) increase.

What income level causes higher Medicare premiums?

For example, when you apply for Medicare coverage for 2022, the IRS will provide Medicare with your income from your 2020 tax return. You may pay more depending on your income. In 2022, higher premium amounts start when individuals make

more than $91,000 per year

, and it goes up from there.

Does your Medicare premium change yearly based on income?


Medicare premiums are based on your modified adjusted gross income, or MAGI

. That’s your total adjusted gross income plus tax-exempt interest, as gleaned from the most recent tax data Social Security has from the IRS.

What is modified AGI for Medicare?

Your MAGI is

your total adjusted gross income and tax-exempt interest income

. If you file your taxes as “married, filing jointly” and your MAGI is greater than $182,000, you’ll pay higher premiums for your Part B and Medicare prescription drug coverage.

What is the income related monthly adjustment amount?

An income-related monthly adjustment amount, or IRMAA, is

an extra Medicare cost added to your Part B and Part D premiums

. The Social Security Administration determines whether you’re required to pay an IRMAA based on the modified adjusted gross income reported on your IRS tax return from two years prior.

Is Social Security included in modified adjusted gross income?

MAGI is adjusted gross income (AGI) plus these, if any: untaxed foreign income, non-taxable Social Security benefits, and tax-exempt interest. For many people, MAGI is identical or very close to adjusted gross income.

MAGI doesn’t include Supplemental Security Income (SSI)

.

WHAT IS THE MAGI for 2021?

You can expect to pay more for your Medicare Part B premiums if your MAGI is over a certain amount of money. For 2021, the threshold for these income-related monthly adjustments will kick in for those

individuals with a MAGI of $88,000 and for married couples filing jointly with a MAGI of $176,000

.

Are Medicare premiums recalculated every year?


The Part B premium is calculated every year

. You may see a change in the amount of your Social Security checks or in the premium bills you receive from Medicare.

Will Social Security get a raise in 2022?


Social Security and Supplemental Security Income (SSI) benefits for approximately 70 million Americans will increase 5.9 percent in 2022

. Read more about the Social Security Cost-of-Living adjustment for 2022. The maximum amount of earnings subject to the Social Security tax (taxable maximum) will increase to $147,000.

Why did I get an extra Social Security payment this month 2021?

According to the CMS, the increases are due to

rising prices and utilization across the healthcare system, as well as the possibility that Medicare may have to cover high-cost Alzheimer’s drugs like Aduhelm

.

Is Medicare Part B going up 2022?


Medicare’s Part B monthly premium for 2022 will increase by $21.60

, the largest dollar increase in the health insurance program’s history, the Centers for Medicare & Medicaid Services (CMS) announced on Nov. 12. Standard monthly premiums for Part B will cost $170.10 in 2022, up from $148.50 in 2021.

What is Medicare Part A deductible for 2021?

Medicare Part A Premiums/Deductibles

The Medicare Part A inpatient hospital deductible that beneficiaries will pay when admitted to the hospital will be

$1,484

in 2021, an increase of $76 from $1,408 in 2020.

How much of my Social Security is taxable in 2021?

For the 2021 tax year (which you will file in 2022),

single filers with a combined income of $25,000 to $34,000 must pay income taxes on up to 50% of their Social Security benefits

. If your combined income was more than $34,000, you will pay taxes on up to 85% of your Social Security benefits.

Are you automatically enrolled in Medicare if you are on Social Security?


Yes. If you are receiving benefits, the Social Security Administration will automatically sign you up at age 65 for parts A and B of Medicare

. (Medicare is operated by the federal Centers for Medicare & Medicaid Services, but Social Security handles enrollment.)

What is the difference between AGI and Magi?


AGI can reduce the amount of your taxable income by subtracting certain deductions from your gross income. But MAGI can add back those deductions, where the IRS disallows certain deductions and credits

.

How do you calculate Magi from AGI?

  1. Add up your gross income from all sources.
  2. Check the list of “adjustments” to your gross income and subtract those for which you qualify from your gross income. …
  3. The resulting number is your AGI.

How is modified AGI calculated for Medicare premiums?

Your MAGI is calculated by

adding back any tax-exempt interest income to your Adjusted Gross Income (AGI)

. If that total for 2019 exceeds $88,000 (single filers) or $176,000 (married filing jointly), expect to pay more for your Medicare coverage.

What is the income related monthly adjustment amount for 2021?

IRMAA Table 2021
More than $111,000 but less than or equal to $138,000


$297.00
More than $138,000 but less than or equal to $165,000 $386.10 More than $165,000 but less than $500,000 $475.20 More than $500,000 $504.90

Why is my Medicare Part B premium so high?

Since you were already collecting Social Security when you turned 65, you were automatically enrolled in Medicare Part A (which is free) and Medicare Part B (for which you pay a premium), which is why your Medicare premium increased at that time.

How do I appeal my Medicare premiums?

First, you must

request a reconsideration of the initial determination from the Social Security Administration

. A request for reconsideration can be done orally by calling the SSA 1-800 number (800.772. 1213) as well as by writing to SSA.

Do Social Security benefits count towards Magi?


Social Security benefits received by a tax filer and his or her spouse filing jointly are counted when determining a household’s MAGI

. For people who have other income, some Social Security benefits may be included in their AGI.

At what age is your Social Security not taxable?

There is

no age

at which you will no longer be taxed on Social Security payments.

What will Irmaa be in 2023?

PROJECTED 2023 IRMAA BRACKETS FOR MEDICARE PART B
Above $149,000 – $178,000

Above $298,000 – $356,000 Standard Premium x 2.6
Above $178,000 – $500,000 Above $356,000 – $750,000 Standard Premium x 3.2 Greater than $500,000 Greater than $750,000 Standard Premium x 3.4
Ahmed Ali
Author
Ahmed Ali
Ahmed Ali is a financial analyst with over 15 years of experience in the finance industry. He has worked for major banks and investment firms, and has a wealth of knowledge on investing, real estate, and tax planning. Ahmed is also an advocate for financial literacy and education.