Medicare Part B Premiums: Beneficiaries with Higher Income

According to Social Security Online, “The Medicare Modernization Act changed how Medicare Part B premiums are calculated for some higher income beneficiaries. The majority of Medicare beneficiaries are not affected…For most beneficiaries, the government pays a substantial portion – about 75 percent – of the Part B premium and the beneficiary pays the remaining 25 percent.”

”Since 2007, higher income beneficiaries have been paying a larger percentage of their Part B premium based on income they reported to the Internal Revenue Service (IRS). In 2010, higher income beneficiaries will pay a monthly premium equal to 35, 50, 65, or 80 percent of the total cost, depending on what they reported to the IRS.”

In 2010, if you file taxes as “ married filing jointly” and your modified adjusted gross income (MAGI) is greater than $170,000, you will pay a higher Part B premium. For all other filing statuses, you will pay a higher Part B premium if your MAGI is greater than $85,000.

Monthly Medicare Part B Premiums for 2010

Income-related monthly adjustment amount Total monthly premium amount
Individuals with a MAGI of $85,000 or less
Married couples with a MAGI of $170,000 or less
$0.00 $110.50
Individuals with a MAGI above $85,000 up to $107,000
Married couples with a MAGI above $170,000 up to $214,000
$44.20 $154.70
Individuals with a MAGI above $107,000 up to $160,000
Married couples with a MAGI above $214,000 up to $320,000
$110.50 $221.00
Individuals with a MAGI above $160,000 up to $214,000
Married couples with a MAGI above $320,000 up to $428,000
$176.80 $287.30
Individuals with a MAGI above 214,000
Married couples with a MAGI above $428,000
$243.10 353.60

If you are married and lived with your spouse at some time during the taxable year but filied a separate tax return, the following chart will apply:
Income-related monthly adjustment amount Total monthly premium amount
Individuals with a MAGI of $85,000 or less $0.00 $110.50
Individuals with a MAGI above $85,000 up to $129,000 $176.80 $287.30
Individuals with a MAGI above $129,000 $243.10 $353.60



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