visit OK.gov OMES: Employees Group Insurance Division (EGID)
Skip to Content   Contact Us  |  Notifications  |  Site Index  |  Calendar
  • Member
    • Medicare Members
    • Handbooks
    • Pharmacy Benefits Information
    • Member Forms and Applications
    • Wellness
      • Mommy & Me
      • Fitness Centers
      • Healthy Recipes
      • Wellness Links
    • Planning for Retirement
      • Planning for Your Insurance Needs at Retirement
      • Pre-Retirement Seminar Schedule
      • Pre-Retirement Packet
      • Tutorials
    • Health Care Management
      • Case Management
      • Certifications
      • Life Insurance Underwriting/Disabled Dependent Status Review
      • Specialty Services
      • Utilization Review / Quality Assurance
    • HealthVoice Newsletter
    • Premiums
    • Health Care Reform
    • HELP Check
  • Find a Provider
  • ClaimLink
    • ClaimLink for Members
    • ClaimLink for Providers
  • FAQ
  • Coordinators
    • Benefit Coordinator
      • COBRA Premium Reduction
      • Benefit Coordinator Forms
      • Current Member Materials
    • Insurance Coordinator
      • Insurance Coordinator Forms
      • 2012 IC Manual
  • Providers
    • Billing Guide
    • Contracts and Applications
    • Claim Filing Procedure
    • Fee Schedule
    • FAQ
    • Provider Forms
    • Network News
    • Provider Manual
    • Provider Self Service
    • Contact Information
  • Share
    • Email to a Friend
    • Subscribe to eGov News
    • Blinklist
    • Blogger
    • Del.icio.us
    • Digg
    • Facebook
    • Google Bookmarks
    • Linked In
    • Myspace
    • Stumble Upon
    • Twitter
    • Yahoo Bookmarks
Home / Member / Medicare Members / Premiums for Higher Income Members

HealthChoice Medicare Supplement Plans
2013 Premiums for Higher Income Members

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
$170,000 up to $214,000

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 
up to $160,000 annually

Married couples who earned more than
$214,000 up to $320,000

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 
up to $214,000 annually

Married couples who earned more than
$214,000 up to $428,000

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 
$214,000 annually

Married couples who earned more than
$428,000

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

 

Last Modified on 04/11/2013
get adobe reader
                                                                                                                                                                                                                                                           
 
Copyright © State of Oklahoma
Help Desk  |  Policies  |  About Oklahoma's Web Portal  |  Feedback  |  Accessibility