Medicare Benefit Gaps – 2012

— 2012 Medicare Deductibles / Co-Pays —

Part B: Monthly Premium (*See Notes below) $99.90*
Part B: Deductible $140.00
Part A: Hospital Deductible (per Benefit Period) $1,156.00
Part A: Hospital Coinsurance, per day (days 61-90) $289.00
Part A: Hospital Coinsurance, per day (days 91-150) $578.00
Part A: Skilled Nursing Facility Coinsurance, per day (days 21-100) $144.50

Note #1: Your Part B premium will be based on your modified adjusted gross income. Most people will pay the amount shown in the chart above. But, if you filed an individual tax return for 2010 and your modified adjusted gross income was more than $85,000, your Part B premium for 2012 is shown in the table below. If you filed a joint tax return for 2010 and your modified adjusted gross income was more than $170,000, your Part B premium for 2012 is also shown in the table below. The Social Security Administration will compute your premium for you. However, we suggest that you double-check their computation against your 2010 tax return.

Note #2: “Why does Social Security use my modified adjusted gross income from 2010 to determine my Part B premium for 2012?” Part B premiums for 2012 were announced early in October 2011. Instead of guessing what your earnings would be for the full year in 2011, Social Security used the adjusted gross income from your 2010 tax return.

2012 Part B Monthly Premium

If your 2010 income was …
Individual Tax Return Joint Tax Return You Pay
$85,000 or less $170,000 or less $99.90*
$85,001 – $107,000 $170,001 – $214,000 $139.90*
$107,001 – $160,000 $214,001 – $320,000 $199.80*
$160,001 – $214,000 $320,001 – $428,000 $259.70*
Above $214,000 Above $428,000 $319.70*

*If you don’t have to pay a late-enrollment penalty.


2012 Part D Monthly Premium Surcharge

Note: Just like your Part B premium, your Part D premium surcharge will be based on your modified adjusted gross income. Most people will pay the amount billed by their insurance company. But, if you filed an individual tax return for 2010 and your modified adjusted gross income was more than $85,000, your Part D premium surcharge for 2012 is shown in the table below. If you filed a joint tax return for 2010 and your modified adjusted gross income was more than $170,000, your Part D premium surcharge for 2012 is also shown in the table below. The Social Security Administration will compute your premium for you. However, we recommend that you double-check their computation against your 2010 tax return.

If your 2010 income was …
Individual Tax Return Joint Tax Return You Pay
$85,000 or less $170,000 or less $0.00*
$85,001 – $107,000 $170,001 – $214,000 $11.60*
$107,001 – $160,000 $214,001 – $320,000 $29.90*
$160,001 – $214,000 $320,001 – $428,000 $48.10*
Above $214,000 Above $428,000 $66.40*

*If you don’t have to pay a late-enrollment penalty.

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About Mike Gamble

PASSION: Improving the Quality of Life for Aging Parents and their Family Caregivers. Loving Husband, Proud Father, Grandfather and former Family Caregiver.
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