Medicare Blog

do i revert back to the hold harmless class of medicare when i start drawing social security

by Diana Ferry III Published 1 year ago Updated 1 year ago

A: The short answer is yes, you do need to begin your Medicare benefit prior to January 2016 to avoid the expected increase. There is a hold-harmless provision that governs Part B premiums that basically provides that Part B premiums cannot rise more than the amount a person's Social Security benefits rise due to inflation. So...

Full Answer

What is the Medicare hold harmless provision?

The Medicare hold harmless provision prohibits Medicare Part B premiums from reducing the amount of your Social Security benefits year over year. This limits the rise in Medicare Part B premiums paid by Social Security beneficiaries in a given year to no more than the cost of living increase provided by Social Security.

Does the hold harmless rule protect Social Security Part B?

And almost one third of Part B recipients who are covered by the hold-harmless provision will pay less than $134 because the 2% increase in their Social Security benefits will not be large enough to cover the full Part B premium increase. Who Does the Hold Harmless Rule Protect?

Will Medicare Part B premiums lower my social security check?

Hold Harmless Rule Protects Social Security From Medicare Premium Increases Most Social Security recipients are protected from having their check lowered due to rising Medicare Part B premiums.

Who is eligible for the Social Security-Medicare Part B rule?

Most people who receive Social Security disability or retirement benefits and Medicare Part B (coverage for doctor visits) are eligible for protection under this rule. Whether this rule comes into play in a particular year depends on the amount of COLA and the Medicare Part B premium increase. How Much Is Social Security's COLA?

What does hold harmless in Medicare mean?

Last Updated: November 30, 2021 A special rule called the “hold harmless provision” protects your Social Security benefit payment from decreasing due to an increase in the Medicare Part B premium. The Part B base premium for 2022 is $170.10, which is $21.60 higher than the 2021 base premium.

What is the hold harmless provision in Social Security?

The hold harmless rule protects you from having your previous year's Social Security benefit level reduced by an increase in the Part B premium so long as: You are entitled to Social Security benefits for November and December of the current year (2021);

Does Medicare Part B automatically come out of Social Security?

Your Medicare Part B premiums will be automatically deducted from your Social Security benefits. Most people receive Part A without paying a premium.

What is a Medicare hold?

The Medicare hold harmless provision stems from a statutory restriction that prevents Medicare from raising most Social Security recipients' Medicare Part B premiums by more than the cost of living adjustment (COLA) provided by Social Security in a given year.

What month is Medicare deducted from Social Security?

The Medicare premium that will be withheld from your Social Security check that's paid in August (for July) covers your Part B premium for August. So, if you already have Part B coverage you'll need to pay your Medicare premiums out of pocket through July.

Does Medicare Part B premium change every year based on income?

Remember, Part B Costs Can Change 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. Check the amount you're being charged and follow up with Medicare or the IRS if you have questions.

How do I get my $144 back from Medicare?

How do I qualify for the giveback?Are enrolled in Part A and Part B.Do not rely on government or other assistance for your Part B premium.Live in the zip code service area of a plan that offers this program.Enroll in an MA plan that provides a giveback benefit.

How much is deducted from Social Security check for Medicare?

In 2021, based on the average social security benefit of $1,514, a beneficiary paid around 9.8 percent of their income for the Part B premium. Next year, that figure will increase to 10.6 percent.

What is the premium for Medicare Part B for 2021?

$148.50The standard monthly premium for Medicare Part B enrollees will be $170.10 for 2022, an increase of $21.60 from $148.50 in 2021. The annual deductible for all Medicare Part B beneficiaries is $233 in 2022, an increase of $30 from the annual deductible of $203 in 2021.

How do I stop Medicare set aside?

The short answer is if your settlement includes future medical expenses and there's likelihood a cost-shift could occur to Medicare (i.e. Medicare could reasonably be expected to pay for injury-related medicals), then it is not advised to attempt to avoid a Medicare Set Aside.

Why is my first Medicare bill so high?

If you're late signing up for Original Medicare (Medicare Parts A and B) and/or Medicare Part D, you may owe late enrollment penalties. This amount is added to your Medicare Premium Bill and may be why your first Medicare bill was higher than you expected.

Why is my Medicare Part B premium so high?

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. If you file your taxes using a different status, and your MAGI is greater than $91,000, you'll pay higher premiums.

How Much Is Social Security's Cola?

Every year, an annual cost of living adjustment (COLA) is made to Social Security payments to keep pace with inflation. The idea is to give Social...

How Much Is The Medicare Part B Premium?

Medicare premiums have ridden steadily every year until now. The monthly premium for Medicare Part B rose to $134 in 2018, up from $109 in 2017, up...

When Does The Hold Harmless Rule Take Effect?

When there is a Medicare Part B premium increase and a low or no COLA, as in 2010, 2011, and 2013, the hold harmless rule helps many people. The va...

Who Does The Hold Harmless Rule Protect?

The hold harmless rule applies to all Social Security recipients except the wealthy (defined as those earning $85,000 for an individual or $170,000...

Will Social Security get a raise?

Inflation is inevitable, but at least Social Security recipients know they’ll get a raise to compensate for it. Medicare premiums could increase, as well, though. Thanks to the hold harmless provision, Social Security recipients have the confidence of knowing they won’t lose money because premiums increased more than the cost of living. If you’re currently planning your retirement, a Certified Financial Planner® can help you account for those years when your premiums will rise almost as much as your COLA.

Is COLA good for Social Security?

COLA has been pretty good to Social Security recipients in recent years. But it wasn’t too long ago that the economy was suffering, leading the COLA to fall to zero. In 2016, this was the case for only the third time in 40 years. The cost of Medicare for social security recipients had to stay stagnant because of the hold harmless provision.

What is the hold harmless provision for Medicare?

This is called the “hold harmless” provision, and it protects about 70 percent of Medicare beneficiaries from having to pay the full amount of the Part B premium increase in years when the COLA wouldn’t be enough to cover the premium hike.

When did Medicare Part B premiums increase?

After remaining steady for three years, Medicare Part B premiums started increasing again in 2016, and again in 2017. They remained steady in 2018, but increased again in 2019. However, because COLAs weren’t large enough to cover the increases in 2016 and 2017, most beneficiaries were paying less than the standard amount for their Part B coverage.

What percentage of Medicare Part B will receive COLA?

The federal government estimated that only about 3.5 percent of Medicare Part B enrollees would receive COLAs that still weren’t sufficient to cover the full increase in their Part B premiums, and would thus still be paying less than the standard premium in 2019. For 2018, the Social Security COLA was 2 percent.

What was the Medicare premium for 2016?

For 2016, the standard Medicare Part B premium was $121.80/month. But about 70 percent of enrollees were only paying $104.90 (the same rate they paid in 2015), because they were “held harmless” from the rate hike in 2016.

What is the Social Security Cola for 2020?

For 2020, the Social Security COLA was 1.6 percent, which increased the average retiree’s benefit by about $32/month. Part B premiums for most people increased slightly to $144.60/month. As was the case in prior years, some beneficiaries are again paying less because of the “hold harmless” provision.

How much is Part B insurance?

But the Part B premium is $144.60 per month as of 2020. Although there have been some stretches of time when the premium declined from one year to the next or remained steady – 2013 through 2015, for example, when it was $104.90/month each year – it has generally increased every year.

Is Medicare Part B premium larger than Social Security?

But sometimes the Medicare Part B premium increase is larger than the Social Security COLA. In that situation, the result would be a decrease in net Social Security checks from one year to the next (for example, if the COLA only adds $5/month to a person’s check but their Part B premiums go up by $8/month, their net Social Security check would be ...

Many misunderstand how the rule works

Retirees need help with basic living expenses, and healthcare is a vital need for people as they age. Together, Social Security and Medicare aim to give retirees vital assistance with their medical and financial obligations.

Why the hold-harmless provision exists

The hold-harmless provision stemmed from the fact that the CMS and SSA work together to facilitate their joint operations. Online applications for both Social Security and Medicare run through a page on the SSA website, and those who visit Social Security offices in person can apply for both benefits at the same time if they so choose.

How hold-harmless really works

Many people mistakenly believe that the hold-harmless provision kicks in whenever percentage increases in Medicare costs outpace Social Security's COLA percentage. That would be ideal in helping retirees keep as much of their benefits as possible. However, that's not the way the rule works.

A temporary benefit

The other thing to remember about the hold-harmless provision is that it doesn't permanently reduce your monthly Medicare premiums. When future-year COLAs exceed the increase in Medicare costs, then you'll have to make up the difference with additional Medicare premium boosts that you temporarily avoided because of the rule.

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When did Medicare Part B hold harmful?

The Medicare Part B Hold Harmless Provision In 2010 And 2011 When Social Security COLAs Went To 0.0%. When Social Security benefits didn’t increase at all in 2010 (and again in 2011) due to the 0.0% COLA, it meant any dollar increase in Medicare Part B would trigger the Hold Harmless provision.

What is Medicare for retirees?

For virtually all retirees, Medicare is the core means by which health insurance is obtained in retirement. Coverage is provided via a combination of Medicare Part A (for hospital insurance) that is free, plus Part B (for medical insurance covering doctor’s visits, outpatient procedures, and more) for a subsidized premium, and Part D (for prescription drugs) also paid via a separate premium. Together, the Medicare system goes a long way to stabilizing the unknown of health care costs in retirement into a series of known health insurance premiums.

What was the Medicare premium in 2014?

At the same time, the premium for Medicare Part B in 2014 was $104.90/month. Given that Social Security benefits had increased by $22/month, even if Medicare Part B premiums had risen by 10% for 2015, to $115.40, the Medicare Part B premium “Hold Harmless” provision still wouldn’t have applied. While Medicare premiums would have been up 10% ...

What is Medicare Part B?

Medicare Part B, also known as the “Medical Insurance” portion , covers the typical range of doctors’ services, preventive care, outpatient services and lab tests, etc.

Does the Hold Harmless Medicare Part B apply to Part B?

At the other end of the spectrum, the Hold Harmless provisions for Medicare premiums also don’t apply to anyone who is subject to the aforementioned income-related monthly adjustment amount (IRMAA) to Part B premiums.

Does the hold harmless provision apply to everyone?

When The Hold Harmless Provision On Medicare Part B Premiums Does NOT Apply. Notably, the Hold Harmless provision on Medicare Part B premiums doesn’t apply to everyone. In order for the rule to apply, the retiree must have Medicare Part B premiums being deducted from his/her Social Security benefits in the first place.

Can I pay Medicare Part B and Part D from Social Security?

Paying Medicare Part B And Part D Premiums From Social Security Retirement Benefits. When a retiree is signed up for Medicare Part B and is receiving Social Security benefits, the Medicare premiums are normally subtracted directly from the Social Security check. If the retiree is signed up for a Medicare Part D plan, ...

How long does Social Security withhold?

For the year, Social Security withholds $3,020 from your payments (half of the $6,040 by which you topped the earnings limit). That works out to 2.5 months of benefits lost, which Social Security rounds up to three. Now suppose you continue to lose three months of benefits a year until you reach full retirement age — that's 66 years ...

How does extra years of work affect your benefits?

The extra years you worked will further boost your benefit payment if they rank among your 35 highest-earning years. This will increase your lifetime average for monthly income , the figure that is the basis of your benefit calculation, in turn raising your benefit amount.

Will I get my Social Security money back?

Will I get that money back? Yes, but not in a tidy lump sum. What Social Security does instead is increase your benefit when you reach full retirement age to account for the previous withholding. Full retirement age, or FRA, is when you become eligible for 100 percent of the benefit amount calculated from your lifetime earnings.

What Is The Medicare Hold Harmless Provision?

Hold Harmless Provision Requirements

  • Once you understand what the hold harmless agreement represents in Medicare, it’s time to look at some of the exceptions to the provision. In order to cap your Medicare increases, you have to meet the following criteriaas a Social Security recipient: 1. You must have been entitled to benefits in both November and December of the current year. 2. Me...
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Special Considerations

  • COLA has been pretty good to Social Security recipients in recent years. But it wasn’t too long ago that the economy was suffering, leading the COLA to fall to zero. In 2016, this was the case for only the third timein 40 years. The cost of Medicare for social security recipients had to stay stagnant because of the hold harmless provision. As recently as 2016, 70 percent of enrollees di…
See more on retirable.com

Final Thoughts

  • Inflation is inevitable, but at least Social Security recipients know they’ll get a raise to compensate for it. Medicare premiums could increase, as well, though. Thanks to the hold harmless provision, Social Security recipients have the confidence of knowing they won’t lose money because premiums increased more than the cost of living. If you’re currently planning your retirement, a C…
See more on retirable.com

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