![]() ![]() To determine your 2024 income-related monthly adjustment amounts, we use your most recent federal tax return the IRS provides to us. Remember, if your income isn’t greater than the limits described above, this law does not apply to you. In this case, we won’t send you another letter explaining how we made this determination. You must already be paying an income-related monthly adjustment amount. ![]() If you decide to enroll in the other program later in the same year, we’ll apply an adjustment automatically to the other program when you enroll. If you have only 1 - Medicare Part B or Medicare prescription drug coverage - you’ll pay an income-related monthly adjustment amount only on the benefit you have. If you have both Medicare Part B and Medicare prescription drug coverage, you’ll pay higher premiums for each. ![]() If you must pay higher premiums, we’ll send you a letter with your premium amount(s) and the reason for our determination. See the chart below, Modified Adjusted Gross Income (MAGI), for an idea of what you can expect to pay. If you file your taxes using a different status, and your MAGI is greater than $103,000, you’ll pay higher premiums. If you file your taxes as “married, filing jointly” and your MAGI is greater than $206,000, you’ll pay higher premiums for your Part B and Medicare prescription drug coverage. Your MAGI is your total adjusted gross income and tax-exempt interest income. If you must pay higher premiums, we use a sliding scale to calculate the adjustments, based on your “modified adjusted gross income” (MAGI). We use the most recent federal tax return the IRS provides to us. How Social Security Determines You Have a Higher Premium This agency may be the Centers for Medicare & Medicaid Services or the Railroad Retirement Board. ![]() If the amount is greater than your monthly payment from Social Security, or you don’t get monthly payments, you’ll get a separate bill from another federal agency. If you’re a higher-income beneficiary, we deduct this amount from your monthly Social Security payments regardless of how you usually pay your monthly prescription plan premiums. We tie the additional amount you pay to the base beneficiary premium, not your own premium amount. Because individual plan premiums vary, the law specifies that the amount is determined using a base premium. This amount is based on what you report to the IRS. If you’re a higher-income beneficiary with Medicare prescription drug coverage, you’ll pay monthly premiums plus an additional amount. Prescription drug plan costs vary depending on the plan, and whether you get the Extra Help, also known as the subsidy, with your portion of the Medicare prescription drug coverage costs. For most beneficiaries, the government pays a major portion of the total costs for this coverage, and the beneficiary pays the rest. Medicare prescription drug coverage helps pay for your prescription drugs. You’ll pay monthly Part B premiums equal to 35%, 50%, 65%, 80%, or 85% of the total cost, depending on what you report to the IRS. If we determine you’re a higher-income beneficiary, you’ll pay a larger percentage of the total cost of Part B based on the income you normally report to the Internal Revenue Service (IRS). For most beneficiaries, the government pays a substantial portion - about 75% - of the Part B premium, and the beneficiary pays the remaining 25%. It also covers other medical services, such as physical and occupational therapy, and some home health care. Part B helps pay for your doctors’ services and outpatient care. We call the additional amount the “income-related monthly adjustment amount.” Here’s how it works: If you have a higher income, you’ll pay an additional premium amount for Medicare Part B and Medicare prescription drug coverage. The law requires an adjustment to your monthly Medicare Part B (medical insurance) and Medicare prescription drug coverage premiums. How Social Security Determines You Have a Higher Premium. ![]()
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