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Medicare Part B Premiums for 2022

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Medicare and Medicaid Services (CMS) have revealed that in 2022 the usual monthly Part B premium would be $170.10, an increase of $21.60 from 2021’s $148.50. Due to the rule that states Medicare Part B premiums for current enrollees cannot grow by more than the amount of the cost-of-living adjustment for social security (railroad retirement tier I) benefits, some Medicare recipients may pay less than this amount.

Some Medicare Part B recipients may notice a rise in their premiums in 2022 due to the cost-of-living adjustment of 5.9 percent; nevertheless, their rates are expected to be less than $170.10. New participants will be charged the same base premium as existing participants. However, the premiums for some recipients will remain higher than average, depending on their MAGI.

Income-related adjustments to Medicare Part B premiums for 2022 range from $238.10 per month for those with MAGI below $91,000 to $578.30 per month for those with MAGI over $182,000 per year. Those who get benefits and have incomes over $500,000 (or $750,000 for a married couple) are subject to the maximum rate. According to the Centers for Medicare and Medicaid Services (CMS), only around 7 percent of Medicare recipients actually pay the income-adjusted premiums.

Premiums for Medicare Part D prescription medication programs are variable for beneficiaries. The same income thresholds that apply to Part B premiums also apply to the Part D monthly adjustment amount for beneficiaries with MAGIs over those thresholds. The price change in 2022 will be anywhere from $12.40 to $77.90.

The Railroad Retirement Board deducts premiums for Medicare Part B, income-related adjustments for Medicare Part B, and income-related adjustments for Medicare Part D from beneficiary payments. A beneficiary’s Part C or D premiums may be deducted from future benefit payments at the agency’s discretion.

The tables below detail the 2022 income thresholds for reduced Part B premiums. The Social Security Administration (SSA) is in charge of calculating the monthly benefit amount that is adjusted for income. Social Security Administration officials use data from the most recent IRS tax returns in making their conclusions. In most cases, information from the beneficiary’s 2020 tax return will suffice for 2022. When that data isn’t readily available, SSA will instead look at tax returns for 2019.

By the end of the year, SSA will send out a notice to Medicare Part B and Part D recipients on the railroad retirement or social security rolls who will be affected by the 2022 income-related premiums. The notice will specify the conditions under which a beneficiary may submit a request for a reconsideration of the determination. After receiving their notice, recipients who have questions or who want to obtain a new determination should get in touch with SSA.

If you want to learn more about Medicare, including the exact benefits and deductibles, you can visit Medicare.gov.


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2022 PART B PREMIUMS

Individual tax filers who receive benefits:Couples who receive benefits and who file a combined tax returnAmount per month to be adjusted based on incomeTotal amount of the monthly Part B premium
Less than or equal to $91,000Less than or equal to $182,000$0.00$170.10
Greater than $91,000 and less than or equal to $114,000Greater than $182,000 and less than or equal to $228,000$68.00$238.10
Greater than $114,000 and less than or equal to $142,000Greater than $228,000 and less than or equal to $284,000$170.10$340.20
Greater than $142,000 and less than or equal to $170,000Greater than $284,000 and less than or equal to $340,000$272.20$442.30
Greater than $170,000 and less than $500,000Greater than $340,000 and less than $750,000$374.20$544.30
$500,000 and above$750,000 and above$408.20$578.30

Beneficiaries who are married but file a separate tax return and who lived with their spouse at any point during the tax year will pay a different monthly premium rate than those who are married but file a joint return. Below, you’ll find details about those prices:

Individuals who are married yet file a separate tax return are considered “married filing separately” beneficiaries.Amount per month to be adjusted based on incomeTotal amount of the monthly Part B premium
Less than or equal to $91,000$0.00$170.10
Greater than $91,000 and less than $409,000$374.20$544.30
$409,000 and above$408.20$578.30

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