What are Medicare Part B Premiums and Deductibles in 2022?

Medicare Part B

What does Part B cover?

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.

 

How to Sign Up for Part B?

What is Part B Premium and Deductible in 2022?

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.

 

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Medicare Part B Income-Related Monthly Adjustment Amounts:

The 2022 Part B total premiums for high income beneficiaries are shown in the table below:

Beneficiaries who file individual tax returns with modified adjusted gross income:

Less than or equal to $91,000
Greater than $91,000 and less than or equal to $114,000
Greater than $114,000 and less than or equal to $142,000
Greater than $142,000 and less than or equal to $170,000
Greater than $170,000 and less than $500,000
Greater than or equal to $500,000

Beneficiaries who file joint tax returns with modified adjusted gross income:

Less than or equal to $182,000
Greater than $182,000 and less than or equal to $228,000
Greater than $228,000 and less than or equal to $284,000
Greater than $284,000 and less than or equal to $340,000
Greater than $340,000 and less than $750,000
Greater than or equal to $750,000

Income-related monthly adjustment amount

$0.00
68.00
170.10
272.10
374.20
408.20

Total monthly premium amount

$170.10
238.10
340.20
442.30
544.30
578.30

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:

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:

Less than or equal to $91,000
Greater than $91,000 and less than $409,000
Greater than or equal to $409,000

Income-related monthly adjustment amount

$0.00
374.20
408.20

Total Monthly premium amount

$ 170.10
544.30
578.30

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What is Medicare Part A Premium and Deductible in 2022?

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).

2021
Inpatient hospital deductible
$ 1484
Daily coinsurance for 61st - 90th Day
$ 371
Daily coinsurance for lifetime reserve days
$ 742
Skilled Nursing Facility coinsurance
$ 185.50
2022
Inpatient hospital deductible
$ 1556
Daily coinsurance for 61st - 90th Day
$ 389
Daily coinsurance for lifetime reserve days
$ 778
Skilled Nursing Facility coinsurance
$ 194.50

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.

Need Help Signing Up for Medicare Part B?

Generally you can sign up for Medicare Part B with the Social Security Office. If you  already have Medicare part A, and you are still working you can get part B when you leave your employer health insurance coverage. The Social Security Office may require the Part B form to be signed by your employer or the human resources department at your job to indicate the date you will lost your health insurance coverage.

Always feel free to contact us with any questions you may have about the process. Once you have both Medicare Part A and Part B, you can enroll in a Medicare Supplement Plan, Medicare Advantage Plan, and Part D Plan. 

Note that Medicare doesn’t cover Dental and Vision services. You enroll on a Dental plan separately. However, some Medicare Advantage plans cover Dental and Vision.

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