In addition to their regular monthly plan premiums, some Medicare members must pay an additional monthly adjustment premium for their Medicare Part B and Part D coverage. Only those individuals who earned more than $85,000 annually and couples who earned more than $170,000 annually were charged the additional adjustment premiums. According to the Social Security Administration, less than 5% of Medicare members will pay these higher premiums, so most people with Medicare will not be affected.
These income-related monthly premium adjustments are deducted from your Social Security check and are separate and above the monthly premiums you pay to HealthChoice. In the event the adjustment amounts are more than your Social Security check, Medicare will send you a direct bill.
Medicare has based these premium adjustments on your adjusted gross income as reported to the IRS from two years ago (2011). This is the most recent tax information provided to Social Security by the IRS; however, if you have experienced a more recent change in your income level you should contact the Social Security Administration toll-free at 1-800-772-1213. TTY users call toll-free 1-800-325-0778. You can also find additional information on Social Security’s website at www.socialsecurity.gov.
If you have questions or need more information, visit www.medicare.gov on the web or call Medicare toll-free at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users call toll-free 1-877-486-2048.
The chart below shows the 2013 additional premium amounts individuals or married couples must pay based on their modified adjusted gross annual income:
| Your Modified Adjusted Gross Income |
Monthly Part B Premium Amount |
Monthly Part D Premium Amount |
|
Individuals who earned less than $85,000 annually Married couples who earned less than $170,000 |
You pay the standard monthly Part B Premium of $104.90 |
You pay only your regular monthly HealthChoice plan premium |
|
Individuals who earned more than $85,000 up to $107,000 annually Married couples who earned more than |
You pay the standard monthly Part B Premium of $104.90 + $42.00 |
You pay your regular monthly HealthChoice plan premium + $11.60 |
|
Individuals who earned more than $107,000 Married couples who earned more than |
You pay the standard monthly Part B Premium of $104.90 + $104.90 |
You pay your regular monthly HealthChoice plan premium + $29.90 |
|
Individuals who earned more than $160,000 Married couples who earned more than |
You pay the standard monthly Part B Premium of $104.90 + $167.80 |
You pay your regular monthly HealthChoice plan premium + $48.30 |
|
Individuals who earned more than Married couples who earned more than |
You pay the standard monthly Part B Premium of $104.90 + $230.80 |
You pay your regular monthly HealthChoice plan premium + $66.60 |
Based on their modified adjusted gross annual income, the chart below shows the 2013 additional premium amounts for married couples who lived with their spouse sometime during 2011, but who filed separate tax returns:
| Your Modified Adjusted Gross Income |
Monthly Part B Premium Amount | Monthly Part D Premium Amount |
| Individuals who earned less than $85,000 annually | You pay the standard monthly Part B Premium of $104.90 |
You pay only your regular monthly HealthChoice plan premium |
| Individuals who earned more than $85,000 up to $129,000 annually | You pay the standard monthly Part B Premium of $104.90 + $167.80 |
You pay your regular monthly HealthChoice plan premium + $48.30 |
| Individuals who earned more than $129,000 annually | You pay the standard monthly Part B Premium of $104.90 + $230.80 |
You pay your regular monthly HealthChoice plan premium + $66.60 |