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Changes in 2013 Original Medicare Part A and Medicare Part B Premiums, Plus Changes in IRMAA

General Medicare · published Nov 16, 2012

The Centers for Medicare and Medicaid Services (CMS) recently announced that the standard premium for Medicare Part B (coverage for specific doctors’ services, outpatient care, medical supplies, and preventive services) would increase by $5.00, bringing the monthly 2013 Medicare Part B premiums to $104.90.

Medicare Part B premiums have gone up slowly over the past five years – an average of less than 2 percent a year, or $8.50 total.

CMS also noted several other changes in 2013, including:

Medicare Part A Premium:
Medicare Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. Only about 1 percent of people with Medicare pay a premium for Part A services—you need to have paid Medicare payroll taxes for 40 quarters of employment or be married to someone who did. For those few affected, the 2013 Part A premium is decreasing to $441, down from $451 in 2012.

Medicare Part A Deductible:
This deductible is the cost to people with Medicare for up to 60 days of Medicare-covered inpatient services in the hospitals for each benefit period (a benefit period starts the day a patient is admitted and ends when the patient has been out of the hospital for 60 days in a row.)  This will increase to $1,184 in 2013, up from $1156 this year (an increase of 2.4%).

Medicare Part B Deductible:
The deductible will increase to $147 in 2013, from $140. This is still $15 below the deductible in 2011.

Income-related Adjustments (IRMAA):
People with Medicare who report 2012 income above $85,000 a year ($170,000 for people filing jointly) are responsible to cover a larger portion of the cost of their Medicare Part B coverage.

These monthly Medicare Part B premium adjustments range from an additional $42.00 to an additional $230.80 (per month).

If Your Yearly Income Is You Pay
File Individual Tax Return File Joint Tax Return
$85,000 or below $170,000 or below $104.90*
$85,001 - $107,000 $170,000 - $214,000 $146.90*
$107,001 - $160,000 $214,000 - $320,000 $209.80*
$160,001 - $214,000 $320,000 - $428,000 $272.70*
above $214,000 above $428,000 $335.70*