What are Medicare Changes in 2022?

What are Medicare Changes in 2019?

The post below describes 2022 Medicare changes for Premiums and Costs for Medicare Part A, Part B as well as for Part D.

Article Contents

Medicare Part A Cost 2022
Medicare Part B Premium and Cost 2022
Medicare Part D Cost 2022
Medicare Part D Premium 2022
US Government Sources

Medicare Part A and Part B Costs
Medicare Part A Cost 2022

Changes for Medicare Part A Cost in 2022 include:

  • Part A premium
    • For individuals with 40 or more quarters of Medicare-covered employment: $0 per month ($0 in 2021)
    • For individuals with 30-39 quarters of Medicare-covered employment: $274 per month ($259 in 2021)
    • For individuals with less than 30 quarters of Medicare-covered employment: $499 per month ($471 in 2021)
  • Hospital Inpatient Stay
    • Deductible for days 1-60 of each benefit period: $1,556 (1,484 in 2021)
    • Coinsurance per day for days 1-60 of each benefit period: $0 ($0 in 2021)
    • Coinsurance per day for days 61-90 of each benefit period: $389 ($371 in 2021)
    • For days 91 and beyond: $778 per lifetime reserved day ($742 in 2021)
  • Mental Health Inpatient Stay
    • Deductible for days 1-60 of each benefit period: $1,556 (1,484 in 2021)
    • Coinsurance per day for days 1-60 of each benefit period: $0 ($0 in 2021)
    • Coinsurance per day for days 61-90 of each benefit period: $389 ($371 in 2021)
    • For days 91 and beyond: $778 per lifetime reserved day ($742 in 2021)
  • Skilled Nursing Facility Stay
    • $0 for the first 20 days of each benefit period ($0 in 2021)
    • $194.50 per day for days 21-100 of each benefit period ($185.50 in 2021)
    • Days 101 and beyond: all costs (all costs in 2021).

For more information, please visit Medicare costs at a glance.

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Medicare Part B Premium and Cost 2022

Changes for Medicare Part B Premium and Cost in 2022 include:

  • Part B annual deductible:
    • $233 ($203 in 2021)
  • Part B premium
    • In 2022, the standard Part B premium amount will be $170.10 (or higher depending on your income) ($148.50 in 2021)
  • Part B premium for higher income based on your yearly income in 2020

    • If modified adjusted gross income is $91,000 or less for individual tax returns or $182,000 or less for joint tax returns: $170.10 per month
    • If modified adjusted gross income is $91,001 to $114,000 for individual tax returns or $182,001 to $228,000 for joint tax returns: $238.10 per month
    • If modified adjusted gross income is $114,001 up to $142,000 for individual tax returns or $228,001 up to $284,000 for joint tax returns: $340.20 per month
    • If modified adjusted gross income is $142,001 up to $170,000 for individual tax returns or $284,001 up to $340,000 for joint tax returns: $442.30 per month
    • If modified adjusted gross income is $170,001 up to $500,000 for individual tax returns or $340,001 up to $750,000 for joint tax returns: $544.30 per month
    • If modified adjusted gross income is equal/above $500,000 for individual tax returns or equal/above $750,000 for joint tax returns: $578.30 per month

Visit Medicare costs at a glance more information.

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Medicare Part D Cost

Medicare Part D Cost 2022

Changes for Medicare Part D Cost in 2022 for include:

  • Yearly Deductible
    • You are responsible for the first $480 of drug costs ($445 in 2021)
  • Initial Coverage
    • The initial coverage (when you typically pay 25% of drug costs) starts after you’ve satisfied the yearly deductible and continues until the total drug costs (paid by you and your insurance company) reach $4,430 ($4,130 in 2021).
  • Coverage Gap
    • Once the total cost of prescriptions has reached $4,430, you are responsible for ALL drug costs until you’ve spent $7,050 out-of-pocket ($6,550 in 2021). During the gap period, you’ll pay the following amounts for your prescriptions: 25% from the price of brand drugs (25% in 2021) and 25% from the price of generic drugs (25% in 2021).
  • Catastrophic Coverage
    • Catastrophic coverage starts once you’ve spent $7,050 out-of-pocket ($6,550 in 2021). From then until the end of the calendar year, you are paying the greater of either a 5% coinsurance (the same as in 2021) or a small copayment: $3.95 for generic drugs ($3.70 in 2021) or $9.85 for brand name drugs ($9.20 in 2021).
  • Low Income Subsidy (LIS)
    • Maximum copayment for people qualified for LIS programs is $3.95 for generic or preferred drugs ($3.70 in 2021) or $9.85 for brand name drugs ($9.20 in 2021).

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Medicare Changes: Medicare Part D Premium 2022

Medicare Part D premium in 2022 is based on your filing status and yearly income in 2020 as follows:

  • If modified adjusted gross income is $91,000 or less for individual tax returns or $182,000 or less for joint tax returns, then you pay your plan premium.
  • If modified adjusted gross income is $91,001 to $114,000 for individual tax returns or $182,001 to $228,000 for joint tax returns, then you pay your plan premium + $12.40.
  • If modified adjusted gross income is $114,001 up to $142,000 for individual tax returns or $228,001 up to $284,000 for joint tax returns, then you pay your plan premium + $32.10.
  • If modified adjusted gross income is $142,001 up to $170,000 for individual tax returns or $284,001 up to $340,000 for joint tax returns, then you pay your plan premium + $51.70.
  • If modified adjusted gross income is $170,001 up to $500,000 for individual tax returns or $340,001 up to $750,000 for joint tax returns, then you pay your plan premium + $71.30.
  • If modified adjusted gross income is equal/above $500,000 for individual tax returns or equal/above $750,000 for joint tax returns, then you pay your plan premium + $77.90.

Visit Medicare costs at a glance more information.

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US Government Sources

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