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….
The standard monthly premium for Medicare Part B enrollees will be $170.10 in 2022.
|Part B (Medical Insurance)||Beneficiary Pays:|
|Part B Premiums for those with incomes below $91,000 if single, $182,000 if married**||$170.10 / month|
A small % of beneficiaries who are subject to the “hold harmless” provision will pay less, as the increase in their Social Security benefits will not be large enough to cover the increased Part B premium
|Most Part B covered services, including doctors’ visits, outpatient therapy, durable medical equipment, and outpatient mental health services||20% of amount Medicare approves|
More about Part B:
Original Medicare Part B (also known as Medical Insurance) covers outpatient hospital / emergency room visits, some preventative care, and physician services. The Part B monthly premium in 2022 will be $170.10, which is an increase of $21.60 (14.5%) from 2021.
This monthly premium is automatically deducted from your social security benefits or railroad retirement board. If you don’t get these benefit payments, your Part B premium is billed.
The annual deductible for Medicare Part B beneficiaries will be $233 in 2022, which is an increase of $30 from 2021. After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you’re a hospital inpatient), outpatient therapy, and Durable medical equipment (DME).
“The increase in the standard monthly premium—from $148.50 in 2021 to $170.10 in 2022—is based in part on the statutory requirement to prepare for expenses, such as spending trends driven by COVID-19, and prior Congressional action in the Continuing Appropriations Act, 2021 that limited the 2021 Medicare Part B monthly premium increase during the COVID-19 pandemic. It also reflects the need to maintain a contingency reserve for unanticipated increases in health care spending, particularly certain drug costs. There is significant uncertainty regarding the potential for future coverage of clinician-administered Alzheimer’s drugs (i.e., Aduhelm™), requiring additional contingency reserves.“https://www.cms.gov/newsroom/press-releases/cms-announces-2022-medicare-part-b-premiums
*Medicare Advantage Plans and Medicare Prescription Drug Plans are unaffected by this
The standard annual deductible for Medicare Part A beneficiaries will be $1,484 in 2021
|Part A (Hospital Insurance)||Beneficiary Pays:|
|Hospital Deductible||$1,556 / benefit period|
|Hospital Copayment||$0 / day for days 1-60 $389 / day for days 61-90 $778 / day for days 91-150|
|Skilled Nursing Facility Copayment||$194.50 / day for days 21-100|
|Part A Premiums*||$499 / month for those with fewer than 30 quarters of Medicare-covered employment — $274 / month for those with 30-39 quarters of Medicare-covered employment|
More about Part A:
Original Medicare Part A (also known as Hospital Insurance) covers inpatient hospital care, skilled nursing and home health care. As it was announced on 11/12/2021, the annual deductible for Part A will be $1,556, an increase of $72.
This deductible covers beneficiaries’ share of costs for the first 60 days of inpatient hospital care in a benefit period.
*This only pertains to enrollees who have 40 quarters of employment
For more information on the 2022 Medicare Parts A and B premiums and deductibles (CMS-8068-N, CMS-8069-N, CMS-8070-N), please visit:
* Most people with Medicare do not pay a monthly premium for Part A because they have (or a spouse has) 40 or more quarters of Medicare-covered employment (meaning they worked at a job where they paid into Medicare).
** See November 21, 2017 Federal Register for an explanation of the “hold harmless” provision. Also note, Medicare Advantage plans may charge an additional monthly premium. Those with incomes higher than these amounts will pay an Income Related Monthly Adjustment Amount (IRMAA); see Medicare Costs at a Glance.
Source: Centers for Medicare & Medicaid Services, 2022 Medicare Parts A & B Premiums and Deductibles, November 12, 2021.