Medicare Blog

why are some medicare receipients paying 104 and other 134?

by Alexandrea Gleichner II Published 2 years ago Updated 1 year ago

Who pays the most for Medicare Part B premiums?

Some Retirees Pay Higher Medicare Premiums in 2016. High income beneficiaries. Retirees with high incomes have been paying bigger Medicare Part B premiums since 2007. Those with retirement incomes between $85,000 and $107,000 ($170,000 to $214,000 for couples) will pay $170.50 in Medicare Part B premiums in 2016.

What do you need to know about Medicare premiums?

What you need to know about Medicare premiums -- and how to reduce yours under certain circumstances. Question: I can’t get my head around the Medicare Part B premium. I’ve read that the basic premium is supposed to be $134 for 2017, but that most seniors will pay $109 a month and some will pay more than $400.

How much does Medicare Part B cost for new enrollees?

New Medicare enrollees. Retirees who sign up for Medicare in 2017 will pay the standard Medicare Part B premium of $134 for 2017, up 10 percent from $121. 80 in 2016. These new enrollees will pay $300 more for Medicare Part B in 2017 than existing Social Security recipients.

Are Medicare Part B premiums getting bigger for retirees?

Retirees with high incomes have been paying bigger Medicare Part B premiums since 2007. Those with retirement incomes between $85,000 and $107,000 ($170,000 to $214,000 for couples) will pay $170.50 in Medicare Part B premiums in 2016.

How to file SSA-44?

You'll need to file Form SSA-44 with Social Security to avoid a surcharge. We've heard that the most efficient way to handle this is to call Social Security (800-772-1213) to set up a face-to-face meeting at a local office. If you wind up paying the surcharge for a month or two before your appeal is approved, Social Security will reimburse you for the overpayment.

How much is Medicare Part B for 2017?

The basic premium for Medicare Part B for someone who signs up this year is $134 a month.

How much did Medicare spend in 2010?

In 2010, Medicare beneficiaries spent $4,745 out of their own pockets for health care spending, on average, including premiums for Medicare and other types of supplemental insurance and costs incurred for medical and long-term care services (Figure 6). Premiums for Medicare and supplemental insurance accounted for 42 percent ...

How much is the Part A deductible for 2015?

In 2015, the Part A deductible for each “spell of illness” is $1,260 for an inpatient hospital stay. Beneficiaries are generally subject to coinsurance for Part A benefits, including extended inpatient stays in a hospital ($315 per day for days 61-90 and $630 per day for days 91-150 in 2015) or skilled nursing facility ...

How long is coinsurance for skilled nursing?

There is no coinsurance for days 1-60 of an inpatient hospital stay or days 1-20 of a skilled nursing facility stay, and there is no cost sharing for home health visits.

Does Supplemental Insurance cover out-of-pocket expenses?

Supplemental insurance coverage can help beneficiaries pay their out-of-pocket costs for Medicare-covered services. Even with supplemental insurance, however, beneficiaries can face out-of-pocket expenses in the form of copayments for services including physician visits and prescription drugs as well as costs for services not covered by Medicare.

Is Part B deductible?

Part B benefits are subject to an annual deductible ($147 in 2015), and most Part B services are subject to coinsurance of 20 percent. No coinsurance or deductible is charged for the annual wellness visit or for preventive services that are rated ‘A’ or ‘B’ by the USPSTF.

Does more extensive use of services lead to higher out-of-pocket spending?

Not surprisingly, more extensive use of services leads to higher out-of-pocket spending. Spending on medical and long-term care rises with age among beneficiaries ages 65 and older and is higher for women than men, especially among those ages 85 and older (Figure 7).

Does Medicare Advantage pay monthly premium?

Medicare Advantage plan enrollees generally pay the monthly Part B premium and many also pay an additional premium directly to their plan. Medicare Advantage plans are required to place a limit on beneficiaries’ out-of-pocket expenses for Medicare Part A and Part B covered services ($6,700 in 2015). This limit is not applied to beneficiaries in ...

Specific groups of retirees will be charged more expensive Medicare Part B premiums than everyone else

New Medicare enrollees will pay bigger premiums than most existing beneficiaries. (iStockPhoto)

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How much is Medicare Part B?

If you’re new to Medicare in 2017 (and none of the other reasons above apply to you), then your Part B premium of $134 will be taken directly out of your Social Security check.

How much did Medicare start out at in 2015?

Now look at someone new to Medicare in 2015. They started out at $104.90. There was no Social Security increase in 2016, so they continued paying $104.90 last year while new folks paid $121.80. This year their increase was also 0.3%, so their Part B premium also increased a few bucks.

How long does Medicare Part B premium stay on Social Security?

However, when you’re not drawing income yet, you get billed for Medicare Part B for three months at a time. But, if your bill is over $800, then….

How many employees are required to have Part B?

Even if you had coverage through an employer group plan and there were less than 20 employees working at that employer, you’ll likely have a Part B penalty. The longer you went without Part B coverage, the larger your penalty will be.

Can you qualify for Medicare Savings Program?

You Qualify for a Medicare Savings Program. If your income and/or financial resources are below certain amounts, you may qualify for one of the Medicare Savings Programs. With some of these programs, your resident state can actually pay most, or all, of your Part B premium for you.

Can Social Security payments get smaller?

You see, there is a rule called the Hold Harmless provision that basically says your Social Security check can’t get smaller due to a Medicare premium increase. Folks new to Medicare in 2016 started paying $121.80 for Part B.

Can you get Medicare if your income is below certain amounts?

If your income and/or financial resources are below certain amounts, you may qualify for one of the Medicare Savings Programs. With some of these programs, your resident state can actually pay most, or all, of your Part B premium for you.

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