If MAGI in 2022 (or 2021 if 2022 is not available) was:
|
Then the Part B Premium* is:
|
Prescription Drug Coverage Premium** is:
|
More than $103,000 but less than $397,000
|
$559.00
|
$ 74.20
+ Plan premium
|
Greater than or equal to $397,000
|
$594.00
|
$81.00
+ Plan Premium
|
* Plus all applicable surcharges, minus Medicare Advantage Reduction. (For Medicare
Advantage Reduction, see SM 03040.335.)
**Plus late enrollment or reenrollment fees for prescription drug coverage.
NOTE: When the Internal Revenue Service (IRS) provides us the tax filing status of married
filing separately, assume the couple lived together at some point in the tax year.
The law provides higher IRMAA levels for beneficiaries in this situation. If one or
both members of the couple allege that they lived apart throughout the entire tax
year, see HI 01120.060.