2012 Medicare Premiums, Deductibles and Co-Pays

On October 27, 2011 the Centers for Medicare and Medicaid Service (CMS) released notices detailing the Medicare Part A and Part B premiums and Deductibles for calendar year 2012.

Hospital Deductible:

  • $1,156 per spell of illness

Hospital Coinsurance:

  • Days 0-60: $0
  • Days 61-90: $289 / day
  • Days 91-150: $578 / day

Skilled Nursing Facility Coinsurance

  • Days 0-20: $0
  • Days 21-100: $144.50 / day

Part A Premium (for voluntary enrollees only)

  • With 30-39 quarters of Social Security coverage: $248 / month (no change)
  • With 29 or fewer quarters of Social Security coverage: $451 / month

Part B

  • Deductible: $140 / year
  • Standard Premium: $99.90 / month

Part B Income-Related Premium

Beneficiaries who file an individual tax return with income:

Beneficiaries who file a joint tax return with income:

Beneficiaries who are married, but file a separate tax return with income:

Income-related monthly adjustment amount

Total monthly Part B premium amount

Less than or equal to $85,000 Less than or equal to $170,000 Less than or equal to $85,000 $0.00 $99.90
Greater than $85,000 and less than or equal to $107,000 Greater than $170,000 and less than or equal to $214,000 $40.00 $139.90
Greater than $107,000 and less than or equal to $160,000 Greater than $214,000 and less than or equal to $320,000 $99.90 $199.80
Greater than $160,000 and less than or equal to $214,000 Greater than $320,000 and less than or equal to $428,000 Greater that $85,000 and less than or equal to $129,000 $159.80 $259.70
Greater than $214,000 Greater than $428,000 Greater than $129,000 $219.80 $319.70

Part D Income-Related Premium Adjustment

Enrollees in Medicare Part D prescription drug plans pay premiums that vary from plan to plan.  Beginning in 2011, Part D enrollees whose incomes exceed the same thresholds that apply to higher income Part B enrollees must also pay a monthly adjustment amount. The regular plan premium will be paid to their Part D plan, and the income-related adjustment will be paid to Medicare.  The amounts by income level are below.

Beneficiaries who file an individual tax return with income:

Beneficiaries who file a joint tax return with income:

Beneficiaries who are married, but file a separate tax return with income:

Income-related monthly adjustment amount paid to Medicare

Less than or equal to $85,000 Less than or equal to $170,000 Less than or equal to $85,000 $0.00
Greater than $85,000 and less than or equal to $107,000 Greater than $170,000 and less than or equal to $214,000 $11.60
Greater than $107,000 and less than or equal to $160,000 Greater than $214,000 and less than or equal to $320,000 $29.90
Greater than $160,000 and less than or equal to $214,000 Greater than $320,000 and less than or equal to $428,000 Greater that $85,000 and less than or equal to $129,000 $48.10
Greater than $214,000 Greater than $428,000 Greater than $129,000 $66.40