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2022 Medicare Premiums According to Your Income Level

Medicare Part B and Part D premiums can both be affected by your income level. Learn more about what you may pay for Medicare, depending on your income.

Medicare Part B and Part D require higher income earners to pay higher premiums for their plan. If you have Part B and/or Part D benefits (which are optional), your premiums will be based in part on your reported income level from two years prior.

This means that your Medicare Part B and Part D premiums in 2022 may be based on your reported income in 2020.

In this guide, we break down the costs of Medicare by income level, including costs for Medicare Part A, Part B, Part C, Part D and Medicare Supplement Insurance plans.

Medicare Part B costs by income level

Medicare Part B (medical insurance) premiums are based on your reported income from two years prior. The higher premiums based on income level are known as the Medicare Income-Related Monthly Adjustment Amount (IRMAA).

The 2022 Medicare Part B premium costs by income level are as follows:

Medicare Part B IRMAA
2020 Individual tax return 2020 Joint tax return 2020 Married and separate tax return 2022 Part B monthly premium

$91,000 or less

$182,000 or less

$91,000 or less

$170.10

More than $91,000 and up to $114,000

More than $182,000 and up to $228,000

N/A

$238.10

More than $114,000 up to $142,000

More than $228,000 up to $284,000

N/A

$340.20

More than $142,000 up to $170,000

More than $284,000 up to $340,000

N/A

$442.30

More than $170,000 up to $500,000

More than $340,000 up to $750,000

More than $91,000 up to $409,000

$544.30

More than or equal to $500,000

More than or equal to $750,000

More than or equal to $409,000

$578.30

There are several Medicare Savings Programs in place for qualified individuals who may have difficulty paying their Part B premium.

Medicare Part B includes several other costs in addition to monthly premiums. The 2022 Part B deductible is $233 per year.

After you meet your deductible, you typically pay 20 percent of the Medicare-approved amount for qualified Medicare Part B services and devices. Medicare typically pays the other 80 percent of the cost, no matter what your income level may be.

Medicare Part D costs by income level

Like Medicare Part B, Medicare Part D prescription drug plans use the IRMAA to determine plan premium costs by income level.

2022 Medicare Part D plan premiums, based on income level from 2020, are as follows:

Medicare Part D IRMAA
2020 Individual tax return 2020 Joint tax return 2020 Married and separate tax return 2022 Part D monthly premium

$91,000 or less

$182,000 or less

$91,000 or less

Your plan premium

More than $91,000 and up to $114,000

More than $182,000 and up to $228,000

N/A

$12.40 + your plan premium

More than $114,000 up to $142,000

More than $228,000 up to $284,000

N/A

$32.10 + your plan premium

More than $142,000 up to $170,000

More than $284,000 up to $340,000

N/A

$51.70 + your plan premium

More than $170,000 up to $500,000

More than $340,000 up to $750,000

More than $91,000 up to $409,000

$71.30 + your plan premium

More than or equal to $500,000

More than or equal to $750,000

More than or equal to $409,000

$77.90 + your plan premium

There are some assistance programs that can help qualified lower-income beneficiaries afford their Medicare Part D prescription drug coverage.

Part D plans are sold by private insurance companies, so additional costs such as copayment amounts and deductibles can vary from plan to plan.

Are you looking for Medicare prescription drug coverage?

You can compare Medicare drug plans available where you live and – if you're eligible – enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Medicare Part A costs are not affected by your income level

Your income level has no bearing on the amount you will pay for Medicare Part A (hospital insurance). Part A premiums (if you are required to pay them) are based on how long you worked and paid Medicare taxes.

Medicare Part A premium costs in 2022 are as follows:

2022 Medicare Part A Premium Cost

Number of quarters you paid Medicare taxes

2022 Medicare Part A monthly premium

40 or more (at least 10 full years)

$0

30-39 quarters

$274

Fewer than 30 quarters

$499

Most Part A beneficiaries qualify for premium-free Part A coverage.

Two of the Medicare Savings Programs that may help pay Part A premium costs for qualified individuals include:

  • Qualified Medicare Beneficiary (QMB) Program
  • Qualified Disabled and Working Individuals (QDWI) Program

Medicare Advantage and Medigap costs by income level

Medicare Part C plans (also called Medicare Advantage) and Medicare Supplement Insurance plans (also called Medigap) are sold by private insurance companies. The cost of plans can vary from one provider to the next.

Read additional medicare costs guides to learn more about Medicare costs and how they will affect you.

Find a Medicare Advantage plan that fits your income level

Did you know that a Medicare Advantage plan covers the same benefits that are covered by Medicare Part A and Part B (Original Medicare)? Did you know that some Medicare Advantage plans also offer benefits not covered by Original Medicare?

Some of these additional benefits – such as prescription drug coverage or dental benefits – can help you save some costs on your health care, no matter what your income level may be.

Some Medicare Advantage plans even feature $0 monthly premiums, though $0 premium plans may not be available in all locations. Find out if a $0 premium plan is available where you live by calling to speak with a licensed insurance agent.

Find a $0 premium Medicare Advantage plan today.

Speak with a licensed insurance agent

1-800-557-6059

Learn more about Medicare enrollment

Christian

About the author

Christian Worstell is a licensed insurance agent and a Senior Staff Writer for MedicareAdvantage.com. He is passionate about helping people navigate the complexities of Medicare and understand their coverage options.

His work has been featured in outlets such as Vox, MSN, and The Washington Post, and he is a frequent contributor to health care and finance blogs.

Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. He currently lives in Raleigh, NC.

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