What to Know About Your Medicare Costs of 2022

//What to Know About Your Medicare Costs of 2022

What to Know About Your Medicare Costs of 2022

Posted 8 months ago;
17th Jan 2022

A number of Medicare costs will creep higher in 2022. Annual adjustments can affect premiums, deductibles, and other cost-sharing aspects of Medicare for about 63.5 million beneficiaries of the program in the USA. Most Medicare beneficiaries are 65 or older. Each change may not make a huge difference but experts are of the opinion that it is important to consider how these increases will affect your household budget. 

It is important to note that your coverage choices can affect how much you pay in premiums, deductibles, and copays. Beneficiaries with limited income may also qualify for Medicaid or other programs because a person’s income also is a determining factor. Beneficiaries with higher incomes have to pay more for comparatively more for parts of coverage. About 42% of beneficiaries choose to get those benefits delivered through Advantage Plans that private insurers offer. 

Those plans usually include Part D of Medicare, as well as extras such as dental or vision. However, other beneficiaries of the program prefer sticking with basic Medicare and often pair it with a standalone Part D plan. Some beneficiaries also purchase a supplement plan i.e. Medigap. This however raises some of the basic costs that come with basic medicare. Beneficiaries cannot have both an Advantage Plan and Medigap. 

Part A Costs 

Most Medicare beneficiaries do not pay a premium for Part A because of their history i.e. at least ten years of paying into the system through payroll taxes to qualify for premium-free Medicare part A. In case you do not meet the minimum requirement, monthly premiums could reach $499 per month in 2022, and that would depend on whether you’ve paid any taxes into the Medicare system at all. That maximum was $471 in 2021, an increase of $28 in 2022. Also, anyone who does not have additional coverage beyond the basic one, they will have to pay the amount of $1,556 when admitted to the hospital in 2022, which is $72 higher than 2021. This amount covers the first 60 days of inpatient hospital care in a benefit period. However, for the 61st through 90th days of hospitalization, beneficiaries will pay an additional $389 per day in 2022, which is up $18 from 2021. Also, beneficiaries will pay $778 per day for 60 “lifetime reserve” days in 2022, which is up $36 from 2021. 

Part B Costs 

The standard monthly premium for Part B will be $170.10 in 2022, which is up $21.6 from 2021. It is important to note that the government uses your tax return from two years earlier in order to determine whether you will pay those monthly adjustments or not. That is 2020 tax returns for 2022. You can also fill out a form to request a reduction in that income-related amount amid a life-changing event such as retirement. 

Relevant: Medical Billing and Coding Salary in Texas

Furthermore, the annual deductible for Part B will rise to $233 in 2022, which is up $20 from 2021. Once that deductible is met, beneficiaries typically pay 20% of covered services. 

Although Advantage Plan premiums vary among plans, the average for 2022 is $19 per month, which is actually down from about $21 for the previous year, but any charge would be on top of your Part B premium. For in-network services, the maximum out-of-pocket limit for Advantage Plans can reach up to $7,550, and $11,300 for out-of-network in the year 2022. 

Part D 

The average monthly premium for Part D coverage in 2022 will be $33, which is up $1.53 from 2021. Similar to Medicare Part B premiums, higher earners will pay extra for part D as well. While not everyone pays a deductible for the coverage of Medicare Part D, some plans do not even have one — at max, it can be $480 in 2022, which is up $35 from 2021. The amount that Part D enrollees pay out of pocket before qualifying for “catastrophic coverage” will rise to $7,050 in 2022 compared to $6,550 in 2021(manufacturer discounts count toward that amount). Also, please note that there is no out-of-pocket cap when it comes to Part D coverage.

Leave A Comment

Subscribe by Email

Get a Quote