Medicare Blog

why are social security file and suspends not held harmless from medicare premium increases

by Deonte Schuppe Published 2 years ago Updated 1 year ago

For most Social Security recipients, no. That’s due to the “hold harmless” provision of the Social Security Act, which prevents Social Security payments from going down because Medicare premiums go up.

Full Answer

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?

Does the hold harmless rule apply to Medicare Part D?

The hold harmless rule also does not apply to the Medicare Part D (prescription drug) premium, but that program just started in 2006 and has not seen significant premium increases yet. Learn more about Social Security benefits or Medicare Part B.

Does Medicare hold harmless for Social Security?

Unfortunately, the answer is yes… if you’re not covered by the Medicare Hold Harmless provision. Every year I release a new video on my YouTube channel and talk about the annual Social Security cost-of-living adjustments.

Will my social security check be lowered due to rising premiums?

Most Social Security recipients are protected from having their check lowered due to rising Medicare Part B premiums. There is a special rule for Social Security recipients, called the "hold harmless rule," that ensures that Social Security checks will not decline from one year to the next because of increases in Medicare Part B premiums.

Does Social Security income affect Medicare premiums?

We tie the additional amount you pay to the base beneficiary premium, not your own premium amount. If you're a higher-income beneficiary, we deduct this amount from your monthly Social Security payments regardless of how you usually pay your monthly prescription plan premiums.

What is the Medicare hold harmless provision?

Key Takeaways. The Medicare hold harmless provision prevents a recipient's Social Security benefits from being reduced due to Medicare Part B premiums. People who pay Part B premiums directly to Medicare—or who have premiums paid by Medicaid—do not qualify for the hold harmless provision.

Why is my Medicare premium increasing?

In November 2021, CMS announced that the Part B standard monthly premium increased from $148.50 in 2021 to $170.10 in 2022. This increase was driven in part by the statutory requirement to prepare for potential expenses, such as spending trends driven by COVID-19 and uncertain pricing and utilization of Aduhelm™.

Why is Medicare being taken out of my Social Security check?

In 2022, if you have an individual income of $91,000 or more or joint income of $182,00 or more, you'll pay more for Part B. This adjusted amount is called an income-related monthly adjustment amount (IRMAA). Both your Part B IRMAA and premium can be automatically taken out of your Social Security or RRB checks.

Can Medicare increase more than Social Security?

While the majority of beneficiaries will pay the added amount, a "hold harmless" rule prevents Medicare recipients' premiums from increasing more than Social Security benefits.

Can I get Medicare Part B for free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.

Why did my Medicare Part B increase?

This year's standard premium, which jumped to $170.10 from $148.50 in 2021, was partly based on the potential cost of covering Aduhelm, a drug to treat Alzheimer's disease.

How do I get my $144 back from Medicare?

Even though you're paying less for the monthly premium, you don't technically get money back. Instead, you just pay the reduced amount and are saving the amount you'd normally pay. If your premium comes out of your Social Security check, your payment will reflect the lower amount.

What income is used to determine Medicare premiums?

modified adjusted gross incomeMedicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago. This is the most recent tax return information provided to Social Security by the IRS.

How much is deducted from Social Security each month for Medicare?

Medicare Part B If your 2020 income was $91,000 to $408,999, your premium will be $544.30. With an income of $409,000 or more, you'll need to pay $578.30. If you receive Social Security benefits, your monthly premium will be deducted automatically from that amount.

How much does Social Security take out for Medicare each month?

The standard Medicare Part B premium for medical insurance in 2021 is $148.50. Some people who collect Social Security benefits and have their Part B premiums deducted from their payment will pay less.

What deductions are taken out of Social Security checks?

If beneficiaries owe taxes, federal debt or have support orders, the amounts owed are deducted from their Social Security checks.Federal Income Taxes. ... Medicare. ... Child Support and Alimony. ... Student Loans.

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...

Does the Medicare Part B premium increase each year?

When Medicare debuted in 1966, the Part B premium was $3 per month. But the Part B premium is $144.60 per month as of 2020. Although there have bee...

What is the connection between Social Security benefits and Medicare premiums?

Most Medicare beneficiaries are also receiving Social Security benefits, and their Part B premiums are automatically deducted from their Social Sec...

Have Social Security recipients been 'held harmless' for Part B premium increases recently?

In most years, Social Security’s COLA results in a large enough increase that higher Part B premiums can be deducted from the new payments without...

Why do people pay Medicare premiums?

Most people with Medicare will pay the new premium amount because the increase in their benefit amount will cover the increase. However, a small number of people will see little or no increase in their Part B premium — and their Social Security benefit checks will remain the same — because the amount of their cost-of-living adjustment isn’t large ...

How to qualify for hold harmless?

To qualify for the hold harmless provision, you must: Receive Social Security benefits or be entitled to Social Security benefits for November and December of the current year. Have your Medicare Part B premiums for December and January deducted from your monthly benefits.

What is the Medicare premium for 2021?

The Part B base premium for 2021 is $148.50, which is $3.90 higher than the 2020 base premium. Most people with Medicare will pay the new premium amount because ...

Does Social Security reduce Medicare?

Social Security works together with the Centers for Medicare & Medicaid Services to make sure you won’t have a reduction in your Social Security benefits as a result of Medicare Part B premium increases.

Does hold harmless apply to Part B?

The hold harmless provision does NOT apply to you if: You enroll in Part B for the first time in 2021. You pay an income-related monthly adjustment amount premium. You are dually eligible for Medicaid and have your premium paid by a state Medicaid agency. You can learn more by visiting Medicare. Tags: Medicare.

How does Social Security work?

The Social Security Administration awards a certain percentage of retirement benefits according to the age at which you retire: 1 Early retirement age. When beneficiaries retire before the full, or normal, retirement age, their benefit amount is reduced by a graduating fraction in order to help their benefits last longer throughout their retirement. For example, if the normal retirement age is 65 and you elect to retire at 62, your monthly benefit will be reduced by 20% of amount you would receive at 65. 2 Normal retirement age. The normal retirement age depends on an individual’s year of birth and is also dependent on changes to Social Security policies over time. Currently, retirees born before 1943 can receive a full benefit amount at age 65. Those born after 1943 and before 1960 must be 66, and anyone born after 1960 must be 67. 3 Late retirement age. Delaying retirement payments until the age of 70 is considered late retirement and allows you to earn extra retirement credits that increase your monthly benefit once payments begin. The percentage of credit you receive for each year you delay retirement depends on your year of birth.

Can a spouse receive spousal benefits without collecting?

Originally, the benefits of filing for retirement benefits and suspending payment helped beneficiaries of an eligible age allow their spouses to receive a spousal benefit payment without collecting payments from the primary benefit account. This meant that a retiree could still accrue credits for delayed retirement, thus increasing their future payment amount, while their spouse received dependent benefits.

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.

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 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 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.

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.

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 ...

Did Medicare Part B increase in 2016?

The COLA was zero percent that year, so Medicare Part B premiums couldn’t increase at all for most enrollees. 2016 was only the third time in 40 years that the COLA was zero. Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006.

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 will Medicare Part B be deducted from Social Security?

The Medicare Part B premium will be or was deducted from your Social Security benefits in November 2019 through January 2020; You do not already pay higher Part B premiums because of eligibility; And, you do not receive a Cost of Living Adjustment (COLA) large enough to cover the increased premium. COLA is additional income given ...

What is the hold harmless rule?

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 (2019);

Can you waive a Part B late enrollment penalty?

Note: If you qualify for the hold harmless provision but pay a Part B late enrollment penalty, the penalty will not be waived, and it may increase. This is because the penalty will be calculated based on the new, higher premium—even if you are not paying that higher amount.

Does Hold harmless apply to 2020?

You are new to Medicare in 2020. Hold harmless does not apply to you because you have not been enrolled in Medicare Part B long enough to qualify. You are subject to IRMAA. You are enrolled in a Medicare Savings Program (MSP). However, the MSP should continue paying for your full Part B premium.

What happens when a beneficiary's benefits are suspended?

When the beneficiary's benefit payments are suspended for a period of time, which will not permit collection of all premiums due from benefits for the current year, the beneficiary will be billed and expected to pay the premiums by direct remittance.

When are suspended benefits resumed?

When suspended benefit payments are scheduled to be resumed (e.g., a deferred case) for the current year with payments beginning in or before the following January, any premiums owed when benefits are resumed will be deducted from the first benefit (s) payable. In the meantime, the beneficiary is not billed but instead is advised ...

How long is a premium due?

Unless the enrollee is billed monthly, the initial notice of premiums due will cover a period of 3 months or, if greater, the period from the first month a premium is owed through the end of the third month after the month of billing. Premium billing notices are not necessarily received on a calendar quarter billing cycle. Some notices are mailed on an off-calendar quarter; e.g., February, March. The enrollee should be advised to set aside money for premiums, so that he/she will be prepared to pay for each month of coverage before he/she receives the bill plus the quarter after the bill. ( HI 01005.803 further explains the methods of premium collection.)

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