On November 12, 2021, the Centers for Medicare & Medicaid Services (CMS) released the 2022 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2022 Medicare Part D income-related monthly adjustment amounts.
Medicare Part B Premium and Deductible
Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.
Each year the Medicare Part B premium, deductible, and coinsurance rates are determined according to the Social Security Act. The 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.
The increases in the 2022 Medicare Part B premium and deductible are due to:
- Rising prices and utilization across the health care system that drive higher premiums year-over-year alongside anticipated increases in the intensity of care provided.
- Congressional action to significantly lower the increase in the 2021 Medicare Part B premium, which resulted in the $3.00 per beneficiary per month increase in the Medicare Part B premium (that would have ended in 2021) being continued through 2025.
- Additional contingency reserves due to the uncertainty regarding the potential use of the Alzheimer’s drug, Aduhelm™, by people with Medicare. In July 2021, CMS began a National Coverage Determination analysis process to determine whether and how Medicare will cover Aduhelm™ and similar drugs used to treat Alzheimer’s disease. As that process is still underway, there is uncertainty regarding the coverage and use of such drugs by Medicare beneficiaries in 2022. While the outcome of the coverage determination is unknown, our projection in no way implies what the coverage determination will be, however, we must plan for the possibility of coverage for this high cost Alzheimer’s drug which could, if covered, result in significantly higher expenditures for the Medicare program.
Medicare Part B Income-Related Monthly Adjustment Amounts
Since 2007, a beneficiary’s Part B monthly premium is based on his or her income. These income-related monthly adjustment amounts affect roughly 7 percent of people with Medicare Part B. The 2022 Part B total premiums for high-income beneficiaries are shown in the following table:
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Beneficiaries who file individual tax returns with modified adjusted gross income:
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Beneficiaries who file joint tax returns with modified adjusted gross income:
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Income-related monthly adjustment amount
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Total monthly premium amount
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Less than or equal to $91,000
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Less than or equal to $182,000
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$0.00
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$170.10
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Greater than $91,000 and less than or equal to $114,000
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Greater than $182,000 and less than or equal to $228,000
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$68.00
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$238.10
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Greater than $114,000 and less than or equal to $142,000
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Greater than $228,000 and less than or equal to $284,000
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$170.10
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$340.20
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Greater than $142,000 and less than or equal to $170,000
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Greater than $284,000 and less than or equal to $340,000
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$272.20
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$442.30
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Greater than $170,000 and less than $500,000
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Greater than $340,000 and less than $750,000
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$374.20
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$544.30
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Greater than or equal to $500,000
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Greater than or equal to $750,000
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$408.20
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$578.30
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Premiums for high-income beneficiaries who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows:
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Beneficiaries who are married and lived with their spouses at any time during the year, but who file separate tax returns from their spouses, with modified adjusted gross income:
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Income-related monthly adjustment amount
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Total monthly premium amount
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Less than or equal to $91,000
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$0.00
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$170.10
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Greater than $91,000 and less than $409,000
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$374.20
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$544.30
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Greater than or equal to $409,000
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$408.20
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$578.30
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Medicare Part A Premium and Deductible
Medicare Part A covers inpatient hospital, skilled nursing facility, hospice, inpatient rehabilitation, and some home health care services. About 99 percent of Medicare beneficiaries do not have a Part A premium since they have at least 40 quarters of Medicare-covered employment.
The Medicare Part A inpatient hospital deductible that beneficiaries pay if admitted to the hospital will be $1,556 in 2022, an increase of $72 from $1,484 in 2021. The Part A inpatient hospital deductible covers beneficiaries’ share of costs for the first 60 days of Medicare-covered inpatient hospital care in a benefit period. In 2022, beneficiaries must pay a coinsurance amount of $389 per day for the 61st through 90th day of a hospitalization ($371 in 2021) in a benefit period and $778 per day for lifetime reserve days ($742 in 2021). For beneficiaries in skilled nursing facilities, the daily coinsurance for days 21 through 100 of extended care services in a benefit period will be $194.50 in 2022 ($185.50 in 2021).
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Part A Deductible and Coinsurance Amounts for Calendar Years 2021 and 2022
by Type of Cost Sharing
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2021
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2022
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Inpatient hospital deductible
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$1,484
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$1,556
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Daily coinsurance for 61st-90th Day
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$371
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$389
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Daily coinsurance for lifetime reserve days
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$742
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$778
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Skilled Nursing Facility coinsurance
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$185.50
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$194.50
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Enrollees age 65 and over who have fewer than 40 quarters of coverage and certain persons with disabilities pay a monthly premium in order to voluntarily enroll in Medicare Part A. Individuals who had at least 30 quarters of coverage or were married to someone with at least 30 quarters of coverage may buy into Part A at a reduced monthly premium rate, which will be $274 in 2022, a $15 increase from 2021. Certain uninsured aged individuals who have less than 30 quarters of coverage and certain individuals with disabilities who have exhausted other entitlement will pay the full premium, which will be $499 a month in 2022, a $28 increase from 2021.
Medicare Part D Income-Related Monthly Adjustment Amounts
Since 2011, a beneficiary’s Part D monthly premium is based on his or her income. These income-related monthly adjustment amounts affect roughly 8 percent of people with Medicare Part D. These individuals will pay the income-related monthly adjustment amount in addition to their Part D premium. Part D premiums vary from plan to plan and roughly two-thirds are paid directly to the plan, with the remaining deducted from Social Security benefit checks. The Part D income-related monthly adjustment amounts are all deducted from Social Security benefit checks. The 2022 Part D income-related monthly adjustment amounts for high-income beneficiaries are shown in the following table:
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Beneficiaries who file individual tax returns with modified adjusted gross income
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Beneficiaries who file joint tax returns with modified adjusted gross income
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Income-related monthly adjustment amount
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Less than or equal to $91,000
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Less than or equal to $182,000
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$0.00
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Greater than $91,000 and less than or equal to $114,000
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Greater than $182,000 and less than or equal to $228,000
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$12.40
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Greater than $114,000 and less than or equal to $142,000
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Greater than $228,000 and less than or equal to $284,000
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$32.10
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Greater than $142,000 and less than or equal to $170,000
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Greater than $284,000 and less than or equal to $340,000
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$51.70
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Greater than $170,000 and less than $500,000
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Greater than $340,000 and less than $750,000
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$71.30
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Greater than or equal to $500,000
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Greater than or equal to $750,000
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$77.90
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Premiums for high-income beneficiaries who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows:
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Beneficiaries who are married and lived with their spouses at any time during the year, but file separate tax returns from their spouses, with modified adjusted gross income:
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Income-related monthly adjustment amount
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Less than or equal to $91,000
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$0.00
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Greater than $91,000 and less than $409,000
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$71.30
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Greater than or equal to $409,000
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$77.90
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Reference
Centers for Medicare and Medicare. 2022 Medicare Parts A & B Premiums and Deductibles/2022 Medicare Part D Income-Related Monthly Adjustment Amounts.
https://www.cms.gov/newsroom/fact-sheets/2022-medicare-parts-b-premiums-and-deductibles2022-medicare-part-d-income-related-monthly-adjustment
