2021 Medicare Cost Sharing
Part A Monthly Premium (For those not automatically enrolled)
- 0-29 qualifying quarters of employment: $471
- 30-39 quarters: $259
Inpatient Hospital
- Deductible, Per Spell of Illness: $1,484
- Co-pay, Days 1 – 60: $0
- Co-pay, Days 61 – 90: $371/day
- Co-pay, Lifetime Reserve Days: $742/day
Skilled Nursing Facility
- Co-pay, Days 1 – 20: $0
- Co-pay, Days 21 – 100: $185.50
Standard Monthly Part B Premium
- $148.50
Part B Deductible
- $203
2021 Parts B and D Income-Related Premiums
| Beneficiaries who file an individual tax return with income: | Beneficiaries who file a joint tax return with income: | Beneficiaries who are married, but file a separate tax return with income: | 2021 Total monthly Part B premium amount | 2021 Part D income-related monthly adjusted amount paid to Medicare (in addition to plan premiums) |
| Less than or equal to $88,000 | Less than or equal to $176,000 | Less than or equal to $88,000 | $148.50 | your plan premium |
| Greater than $88,000 and less than or equal to $111,000 | Greater than $176,000 and less than or equal to $222,000 | $207.90 | $12.30 + your plan premium | |
| Greater than $111,000 and less than or equal to $138,000 | Greater than $222,000 and less than or equal to $276,000 | $297.00 | $31.80 + your plan premium | |
| Greater than $138,000 and less than or equal to $165,000 | Greater than $276,000 and less than or equal to $330,000 | $386.10 | $51.20 + your plan premium | |
| Greater than $165,000 and less than $500,000 | Greater than $330,000 and less than $750,000 | Greater than $88,000 and less than $412,000 | $475.20 | $70.70 + your plan premium |
| Greater than or equal to $500,000 | Greater than or equal to $750,000 | Greater than or equal to $412,000 | $504.90 | $77.10 + your plan premium |
Note: Legislation passed in 2015 made changes to the income thresholds for 2018 and 2019 (the upper 3 brackets were lowered, meaning higher charges apply to people earning less income compared to previous years). For 2020 and thereafter, the thresholds are adjusted annually for inflation. See Section 402 of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA; Public Law 114-10).
2022 Medicare Cost Sharing
Part A Monthly Premium (For those not automatically enrolled)
- 0-29 qualifying quarters of employment: $499
- 30-39 quarters: $272
Inpatient Hospital
- Deductible, Per Spell of Illness: $1,556
- Co-pay, Days 1 – 60: $0
- Co-pay, Days 61 – 90: $389/day
- Co-pay, Lifetime Reserve Days: $778/day
Skilled Nursing Facility
- Co-pay, Days 1 – 20: $0
- Co-pay, Days 21 – 100: $194.50
Standard Monthly Part B Premium *
- $170.10
Part B Deductible *
- $233
2022 Parts B and D Income-Related Premiums
| Beneficiaries who file an individual tax return with income: | Beneficiaries who file a joint tax return with income: | Beneficiaries who are married, but file a separate tax return with income: | 2022 Total monthly Part B premium amount | 2022 Part D income-related monthly adjusted amount paid to Medicare (in addition to plan premiums) |
| Less than or equal to $91,000 | Less than or equal to $182,000 | Less than or equal to $91,000 | $170.10 | your plan premium |
| Greater than $91,000 and less than or equal to $114,000 | Greater than $182,000 and less than or equal to $228,000 | $238.10 | $12.40 + your plan premium | |
| Greater than $114,000 and less than or equal to $142,000 | Greater than $228,000 and less than or equal to $284,000 | $340.20 | $32.10 + your plan premium | |
| Greater than $142,000 and less than or equal to $170,000 | Greater than $284,000 and less than or equal to $340,000 | $442.30 | $51.70 + your plan premium | |
| Greater than $170,000 and less than $500,000 | Greater than $340,000 and less than $750,000 | Greater than $91,000 and less than $409,000 | $544.30 | $71.30 + your plan premium |
| Greater than or equal to $500,000 | Greater than or equal to $750,000 | Greater than or equal to $409,000 | $578.30 | $77.90 + your plan premium |
Note: Legislation passed in 2015 made changes to the income thresholds for 2018 and 2019 (the upper 3 brackets were lowered, meaning higher charges apply to people earning less income compared to previous years). For 2020 and thereafter, the thresholds are adjusted annually for inflation. See Section 402 of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA; Public Law 114-10).
* Per CMS, the increases in the 2022 Medicare Part B premium and deductible are due to:
- Rising prices and utilization across the health care system that drive higher premiums year-over-year alongside anticipated increases in the intensity of care provided.
- Congressional action to significantly lower the increase in the 2021 Medicare Part B premium, which resulted in the $3.00 per beneficiary per month increase in the Medicare Part B premium (that would have ended in 2021) being continued through 2025.
- Additional contingency reserves due to the uncertainty regarding the potential use of the Alzheimer’s drug, Aduhelm™, by people with Medicare. In July 2021, CMS began a National Coverage Determination analysis process to determine whether and how Medicare will cover Aduhelm™ and similar drugs used to treat Alzheimer’s disease. As that process is still underway, there is uncertainty regarding the coverage and use of such drugs by Medicare beneficiaries in 2022. While the outcome of the coverage determination is unknown, our projection in no way implies what the coverage determination will be, however, we must plan for the possibility of coverage for this high cost Alzheimer’s drug which could, if covered, result in significantly higher expenditures for the Medicare program.