Medicare Blog

why is my medicare premium higher than my wife

by Odell Toy Published 2 years ago Updated 1 year ago
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Any changes in your Part B premiums are not related to your income but to your individual Social Security benefits. Any changes in your Part B premiums are not related to your income but to your individual Social Security benefits.Jan 25, 2017

Will My Medicare premiums be higher because of my higher income?

Will my Medicare premiums be higher because of my higher income? Some people with higher income may pay a larger percentage of their monthly Medicare Part B and prescription drug costs based on their income. We call the additional amount the income-related monthly adjustment amount.

How do Medicare premiums affect Social Security benefits?

You’ll find detailed information on the Social Security web page “Medicare Premiums: Rules for Higher-Income Beneficiaries.” If you pay a higher premium, you are not covered by “hold harmless,” the rule that prevents most Social Security recipients from seeing their benefit payment go down if Medicare rates go up.

Why is my social security Part B premium higher than my husband?

That’s because the 2017 cost of living adjustment, or COLA, was 0.3 percent, and Social Security’s “hold harmless” rule limits your higher Part B premiums to this amount. I’m guessing you have higher Social Security benefits than your husband, so your Part B premium this year will also be higher than his.

What is the additional amount on my Medicare premium?

We call the additional amount the income-related monthly adjustment amount. Visit Medicare Premiums: Rules For Higher-Income Beneficiaries to see if the adjustment amount applies to you.

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Why is my Medicare premium more than my husbands?

If you file your taxes as “married, filing jointly” and your MAGI is greater than $170,000, 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 $85,000, you'll pay higher premiums.

Do husband and wife pay same Medicare premiums?

There are no family plans or special rates for couples in Medicare. You will each pay the same premium amount that individuals pay. Here's what to know about costs: Medicare Part A, hospital coverage, has no monthly cost for most people who worked or have a spouse who worked and is eligible for Social Security.

Can you get Medicare based on your spouse?

But when a person asks “Can my non-working spouse get Medicare?” they really are asking “Can my spouse be on my Medicare plan?” The answer is no. Medicare is individual insurance, so spouses cannot be on the same Medicare plan together.

Does everyone pay the same Medicare premium?

Most people will pay the standard premium amount. If your modified adjusted gross income is above a certain amount, you may pay an Income Related Monthly Adjustment Amount (IRMAA). Medicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago.

Should husband and wife have same Medicare card?

Each family member has their name on their card , it is therefore an individual card eg I cannot use a card that has my husband's or any of my sons' names on it. I went to the Medicare office and they say that having same card or different card does not matter.

Can my spouse get Medicare if I am 65?

Traditional Medicare includes Part A (hospital insurance) and Part B (medical insurance). To qualify for Medicare, your spouse must be age 65 or older. If your spouse is age 62 (or any age under 65), he or she could only qualify for Medicare by disability.

Is my spouse eligible for Medicare if she never worked?

A non-working spouse can receive premium-free Medicare part A as long as the other partner is at least 62 years old and has satisfied Medicare's work requirements. For example, John is 65 years old and has never worked or paid Medicare taxes.

When can a spouse claim spousal benefits?

You must have been married at least 10 years. You must have been divorced from the spouse for at least two consecutive years. You are unmarried. Your ex-spouse must be entitled to Social Security retirement or disability benefits.

Why is my Medicare premium so high?

Medicare Part B covers doctor visits, and other outpatient services, such as lab tests and diagnostic screenings. CMS officials gave three reasons for the historically high premium increase: Rising prices to deliver health care to Medicare enrollees and increased use of the health care system.

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 can I reduce my Medicare premiums?

How Can I Reduce My Medicare Premiums?File a Medicare IRMAA Appeal. ... Pay Medicare Premiums with your HSA. ... Get Help Paying Medicare Premiums. ... Low Income Subsidy. ... Medicare Advantage with Part B Premium Reduction. ... Deduct your Medicare Premiums from your Taxes. ... Grow Part-time Income to Pay Your Medicare Premiums.

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 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 Social Security increase in 2016?

Because there was only a 0.3% increase in Social Security income this year. Example: Let’s look at someone who got $2,000 per month of Social Security income last year, and started Medicare in 2016. If they got a 0.3% raise, their raise was $6. So, the most their Medicare premium would be allowed to increase would be $6.

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….

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.

Medicare typically bills in 3-month increments, if you don't have your premiums automatically deducted from Social Security

Medicare helps pay for a variety of healthcare services, but it isn't free. Beneficiaries are responsible for a variety of Medicare costs, including monthly premiums, deductibles, and coinsurance or copayments.

Who Gets a Medicare Premium Bill?

The Medicare Premium Bill (CMS-500) goes to beneficiaries who pay Medicare directly for their Part A premium, Part B premium, or who owe the Part D Income-Related Monthly Adjustment Amount (IRMAA). Please note that, even if you collect Social Security, if you owe the Part D IRMAA, you must pay the surcharge directly to Medicare.

How Much Should Your Medicare Premium Bill Be?

How much your Medicare premiums cost depends on which parts of Medicare you have and whether you qualify for premium-free Part A.

How Do You Know if You Owe the Income-Related Monthly Adjustment Amount?

Using data from the Internal Revenue Service (IRS), the Social Security Administration (SSA) determines who owes the Income-Related Monthly Adjustment Amount. SSA will notify you if you owe IRMAA. This notification will include information about appealing the IRMAA decision.

Did You Delay Signing Up for Medicare?

If you delayed Medicare enrollment and did not qualify for a Special Enrollment Period (SEP), your monthly premiums may be higher due to late enrollment penalties.

What Is the Medicare Late Enrollment Penalty?

You may owe the late enrollment penalty for Part A, Part B, or Part D – or all three. How much you owe and how it's calculated depends on the part and how long you went without Medicare coverage.

Ways to Pay Your Medicare Premium Bill

Sign up for Medicare Easy Pay, which allows Medicare to automatically deduct your premiums from your personal savings or checking account.

What happens if you don't receive Medicare?

In this case, Medicare will send you a bill for Part B coverage called the Medicare Premium Bill. Read this article for five ways to pay your Part B premium payments.

Why did my spouse receive a settlement from my employer?

You or your spouse received a settlement from an employer or former employer because of the employer’s closure, bankruptcy or reorganization. These methods apply to the Part B premium. Contact the IRS if you disagree with your adjusted gross income amount, which is provided to Medicare by the IRS.

What is Medicare Made Clear?

Medicare Made Clear is brought to you by UnitedHealthcare to help make understanding Medicare easier. Click here to take advantage of more helpful tools and resources from Medicare Made Clear including downloadable worksheets and guides.

How much is Medicare Part B 2021?

The standard Part B premium for 2021 is $148.50 to $504.90 per month depending on your income. However, some people may pay less than this amount because of the “hold harmless” rule. The rule states that the Part B premium may not increase more than the Social Security Cost of Living Adjustment (COLA) increase in any given year. In short, this provision prevents your Social Security checks from declining year-over-year and caps Medicare Part B premium increases to be no more than the amount of your COLA.2

Do you get Social Security if you are new to Medicare?

You are new to Medicare. You don’t get Social Security benefits. You pay higher premiums due to having a higher income. Additionally, people with higher incomes may pay more than the standard Part B premium amount due to an “income-related monthly adjustment.”.

Does Medicare Part B increase?

In short, this provision prevents your Social Security checks from declining year-over-year and caps Medicare Part B premium increases to be no more than the amount of your COLA.2. For people who are not “held harmless” the Part B premiums can increase as much as necessary until the standard rate is reached for the given year.

What is Medicare premium based on?

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. To set your Medicare cost for 2021, Social Security likely relied on the tax return you filed in 2020 that details your 2019 ...

What is a hold harmless on Medicare?

If you pay a higher premium, you are not covered by “hold harmless,” the rule that prevents most Social Security recipients from seeing their benefit payment go down if Medicare rates go up. “Hold harmless” only applies to people who pay the standard Part B premium and have it deducted from their Social Security benefit.

What is the Medicare Part B rate for 2021?

If your MAGI for 2019 was less than or equal to the “higher-income” threshold — $88,000 for an individual taxpayer, $176,000 for a married couple filing jointly — you pay the “standard” Medicare Part B rate for 2021, which is $148.50 a month.

Can you ask Social Security to adjust your premium?

You can ask Social Security to adjust your premium if a “life-changing event” caused significant income reduction or financial disruption in the intervening tax year — for example, if your marital status changed , or you lost a job , pension or income-producing property. You’ll find detailed information on the Social Security web page “Medicare ...

Do you pay Medicare Part B if you are a high income beneficiary?

If you are what Social Security considers a “higher-income beneficiary,” you pay more for Medicare Part B, the health-insurance portion of Medicare. (Most enrollees don’t pay for Medicare Part A, which covers hospitalization.) Medicare premiums are based on your modified adjusted gross income, or MAGI. That’s your total adjusted gross income ...

My Medicare Premium Doubled This Year

My Medicare premium doubled this year. Since my wife and I file a joint tax return, her premium doubled, too. Medicare and Social Security are related in that they are both government programs designed to help seniors meet their spending and health needs in retirement, or in their golden age.

Now, It's Medicare's Turn To Pick Your Pocket

Well, Medicare has in fact instituted the very same means-testing idea. Until a few years ago, everyone paid the same monthly premium for their Medicare health coverage. Not anymore. Premiums are means-tested as well now. In 2016, we paid $104.90 per month, each. Last year we paid $134 per month in Medicare premiums, each.

Mope Or Act?

Some folks, when faced with difficulties or obstacles like these go into a funk. They'll mope around, look for pity from those around them, and sometimes become clinically depressed. This might cause them to freeze, like a deer in the headlights, and do nothing.

None Of That For Me

I try to play the hand that's dealt to me, the best I can manage. I analyze the situation and the wheels in my brain start spinning. How can I deal with this situation? How do I spin gold from straw? How can I turn this trash into treasure? Then, I act.

Free Health Club Membership

One silver lining we discovered in this debacle came directly from our Medicare Advantage health insurance plan. It began to offer a "Silver Sneakers" plan to all subscribers. We were offered the opportunity to join any of thousands of health clubs and gyms throughout the country. And we discovered five of them in our immediate neighborhood.

Next Course Of Action: Fill-The-Gap

I figured that between both increased health insurance premiums, higher co-pays to see doctors this year and higher co-pay drug costs, the increases altogether came to some $4000.00.

Fill-The-Gap With Dividends!

Since building and growing dividends for retirement is my specialty, I consulted my watch list, casting about for a good candidate to buy. Which stock would fit the bill to supply me with $1750 of additional dividends so that I could come out whole again. Which company would be best suited to pay for our increased health costs this year?

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