Medicare Blog

why is my medicare premium more than my wife's

by Lillie Lemke Published 2 years ago Updated 1 year ago
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This means you have to pay more for Medicare than most other folks because you (or you and your spouse jointly) have more income than most other folks. For this year, 2017, you can see the IRMAA amounts in the chart below…

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

Full Answer

How much does Medicare Part B cost for married couples?

Medicare considers you and your spouse’s combined income (if you’re married and file your income taxes jointly) when calculating Part B premiums. In most cases, you’ll each pay the standard monthly Part B premium, which is $148.50 per month in 2021.

What happens if you share a Medicare plan with your spouse?

Even if you share a Medicare health plan with your spouse, you’ll still pay your own premiums, deductibles and copays. As Medicare Advantage plans (also known as Medicare Part C) provide a combination of Original Medicare Part A and B services, the advice above can help you determine the costs you may pay.

What happens to my social security if my Medicare rates go up?

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.

How does Social Security affect Medicare Part B premiums?

Phil Moeller: This seeming bit of nonsense actually makes sense according to the rules that Social Security and Medicare use to set Part B Medicare premiums. Any changes in your Part B premiums are not related to your income but to your individual Social Security benefits.

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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.

Why is my Medicare premium higher 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.

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.

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.

What income level triggers higher Medicare premiums?

In 2022, higher premium amounts start when individuals make more than $91,000 per year, and it goes up from there. You'll receive an IRMAA letter in the mail from SSA if it is determined you need to pay a higher premium.

How can I lower 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.

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 is my Medicare premium determined?

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.

How much does Medicare cost for a couple?

Medicare Part B Medicare considers you and your spouse's combined income (if you're married and file your income taxes jointly) when calculating Part B premiums. In most cases, you'll each pay the standard monthly Part B premium, which is $170.10 per month in 2022.

What happens to spouse when on Medicare?

Your spouse can switch to health insurance from his or her employer until reaching Medicare age or beyond. Your spouse can qualify for a special enrollment period to switch to this coverage within 30 days of losing coverage under your plan or can enroll during the company's annual open enrollment period.

Can my wife get Medicare if she never worked?

Can I Get Medicare If I've Never Worked? If you've never worked, you may still qualify for premium-free Medicare Part A. This is based on your spouse's work history or if you have certain medical conditions or disabilities. It's also possible to get Medicare coverage if you pay a monthly Part A premium.

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 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 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.

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.

Can Spouses Share The Same Medicare Supplement Policy

by Christian Worstell | Published December 16, 2020 | Reviewed by John Krahnert

B Premium Can Be Limited By Social Security Cola But That Wasnt An Issue For Most Beneficiaries In 2020 Or 2021

In 2021, most enrollees pay $148.50/month for their Part B coverage, which is the standard amount. Most enrollees were also paying the standard amount in 2020 and in 2019 . But thats in contrast with 2017 and 2018, when most enrollees paid a premium that was lower than the standard premium.

What If The Working Spouse Is Not Yet 65 Years Old

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 Medicares work requirements.

Higher Premiums For Enrollees With High

Since 2007, people who earn more than $85,000 have paid higher Part B premiums based on their income.

B Deductible Also Increased For 2021

Medicare B also has a deductible, which increased to $203 in 2021, up from $198 in 2020. After the deductible is met, the enrollee is generally responsible for 20% of the Medicare-approved cost for Part B services. But supplemental coverage often covers these coinsurance charges.

If My Wife And I File A Joint Tax Return Will We Both Be Required To Pay Higher Premiums For Medicare

Both my wife and I collect Social Security. I am still working full time and I earn military retirement pay. My wife works 1 day per week and has very low income. I am 67 and already on Medicare. My wife will turn 65 in may 2020.

Employers Often Bear Costs

But many employers do pay the lion’s share of the cost to add family members, even though they’re not required to do so. In 2020, the average total premiums for family coverage under employer-sponsored plans was $21,342, and employers paid an average of nearly 74% of that total cost.

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?

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 ...

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