2022 Original Medicare Costs

Medicare Part A (Hospital Insurance) Costs

Part A monthly premium

Most people don't pay a Part A premium because they paid Medicare taxes while working. If you don't get a premium-free Part A, you  pay between $274.00 - $499.00 per month depending on how long they or their spouse worked and paid Medicare taxes.

Part A Hospital Inpatient Deductible and Coinsurance

  • The Part A hospital deductible is $1,556.00 for each benefit period

  • Days 1-60: $0 coinsurance for each benefit period

  • Days 61-90: $389 coinsurance per day of each benefit period

  • Days 91 and beyond: $778 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)

  • Beyond lifetime reserve days: all costs

  • Skilled Nursing Facility coinsurance is $194.50

​​Medicare Part B (Medical Insurance) Costs

Part B monthly premium

Most people pay the standard Part B premium amount $170.10. Social Security will tell you the exact amount you'll pay for Part B.  However, if your modified adjusted gross income as reported on your IRS tax return from 2 years prior is above a certain amount, you'll pay the standard Part B premium and an income-related monthly adjustment amount.

 

Based on your income, here's what you'll pay for Part B in 2022

If you file an individual tax return and earn:

$91,000 or less, you will pay $170.10/mo

more than $91,000 up to $114,000, you will pay $238.10/mo

more than $114,000 up to $142,000, you will pay $340.20/mo

more than $142,000 up to $170,000, you will pay $442.30/mo

more than $170,000 up to $500,000, you will pay $544.30/m0

above $500,000, you will pay $578.30/mo.

If you file a joint tax return and earn:

$182,000 or less, you will pay $170.10

more than $182,000 up to $228,000, you will pay $238.10/mo

more than $228,000 up to $284,000, you will pay $340.20/mo

more than $276,000 up to $340,000, you will pay $442.30/mo

more than $340,000 up to $750,000, you will pay $544.30/mo

above $750,000, you will pay $578.30/mo.

If you file married & separate and earn

$91,000 or less, you will pay $170.10

more than $91,000 up to $409,000, you will pay $544.30/mo

above $409,000, you will pay $578.30/mo

The Part B deductible is $233.00 per year.

After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and Durable Medical Equipment (DME)

As you can see, even after paying the premium and deductibles, original Medicare (Part A & Part B) can leave you financially vulnerable. This is where Part D (Prescription Drug Coverage), Part C (Medicare Advantage Plans), and Medigap (Medicare Supplemental Insurance) can come in handy.