“While the outcome of the coverage determination is unknown, our projection in no way implies what the coverage determination will be, however, we must plan for the possibility of coverage for this high cost Alzheimer’s drug which could, if covered, result in significantly higher expenditures for the Medicare program,” Medicare said in a press release.
Single filers who make less than $91,000 in modified adjusted gross income (less than $182,000 for joint filers) will pay the standard Part B premium in 2022. They will also pay the standard premium for their Part D prescription drug coverage plan.
Beneficiaries who make more than those thresholds will pay a surcharge, called an income-related monthly adjustment amount, for Parts B and D. This applies to about 7% of enrollees for Part B and about 8% for Part D, Medicare said. Monthly Part B premiums for those hit with an IRMAA will range from $238.10 to $578.30, depending on the beneficiaries’ income.
As for Part D IRMAAs, beneficiaries will pay $12.40 to $77.90 per month in addition to their plan’s premium, depending on their income. In September, Medicare said the average premium for Part D for 2022 would be $33, up from $31.47 this year.
The Medicare Part A deductible for 2022 will be $1,556. That’s $72 higher than 2021. This covers the first 60 days of inpatient care at a hospital during a benefit period. After that, enrollees will pay $389 each day for days 61 to 90 during a hospital stay. That’s up from $371 in 2021. Beneficiaries will then pay $778 (up from $742 in 2021) per day for lifetime reserve days.
Enrollees will pay $194.50 per day in coinsurance for days 21 through 100 during a stay at a skilled nursing facility in 2022. That’s $9 more than what beneficiaries paid in 2021.
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