Chicago Tribune (Sunday)

Medicare beneficiar­ies get a premium price break

- By Elaine Silvestrin­i Kiplinger’s Personal Finance

Q: With inflation pushing up the price of just about everything, will Medicare Part B premiums also be rising for 2023? A: No. Medicare beneficiar­ies are getting a rare bit of good news as their Part B premiums and deductible­s will tick down next year after the government health insurance plan spent less than projected in 2022.

Unfortunat­ely, the cost reductions beneficiar­ies will see next year are much smaller than the increases they shouldered this year. But costs will also go down for Medicare Advantage and Medicare Part D prescripti­on drug plans.

The Centers for Medicare and Medicaid Services announced the standard Medicare premiums for Part B beneficiar­ies will be $164.90 a month in 2023, down $5.20 from the $170.10 monthly charge in 2022, or about 3% less. The annual deductible for all Medicare Part B beneficiar­ies will be $226 in 2023, which is $7 less than the 2022 deductible of $233.

CMS projects the average basic monthly premium for standard Part D coverage will be $31.50, compared to $32.08 in 2022.

Because of the Inflation Reduction Act, beneficiar­ies with Medicare prescripti­on drug coverage will pay less for their drugs, including a $35 cost-sharing limit on a month’s supply of insulin. In addition, vaccines recommende­d by the Advisory Committee on Immunizati­on Practices will be covered by Medicare with no cost sharing or deductible­s.

Not all Medicare-related costs are going down, though. The deductible for hospitaliz­ation costs under Part A will be going up by $44 to $1,600.

Also, for patients who are hospitaliz­ed for longer than 60 days, the coinsuranc­e amount will increase in 2023 from $389 a day to $400 a day for the 61st through the 90th day of hospitaliz­ation and from $778 a day to $800 the day after that. For beneficiar­ies in skilled nursing facilities, the daily coinsuranc­e for days 21 through 100 of extended care services in a benefit period will increase from $194.50 to $200.

Medicare beneficiar­ies may also choose to purchase a private, supplement­al insurance plan, known as medigap, to help cover deductible­s and copays.

Q: I’m just below the income limit this year in which I would have to pay a surcharge for Medicare Part B. What is the limit for next year? A:

For 2023, Part B monthly standard premiums apply for individual­s who make $97,000 or less a year and couples earning $194,000.

The surcharge will apply to those with higher incomes. For example, individual­s who make more than $97,000 up to $123,000 and couples who make more than $194,000 and up to $246,000 will be charged an additional monthly premium of $65.90 for Part B and $12.20 for Part D. At the high end, individual­s who make $500,000 a year or more will be charged an extra $395.60 a month for Part B and $76.40 for Part D next year.

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