Page 7 - Cover Letter and Medicare Evaluation for Jamie Marshall
P. 7

2022 IRMAA charges for higher income individuals



                 In most cases, income is the Modified Adjusted Gross Income (MAGI) on 2020 tax returns

                     File Individual Tax                             Part B -- what you    Part D -- what you
            Tier                            File Joint Tax Return
                           Return                                      pay monthly            pay monthly





                    Less than or equal to   Less than or equal to
             1*                                                           $170.10            Plan premium
                           $91,000                $182,000






                    Greater than $91,000  Greater than $182,000       $170.10 + $68 =       Plan premium +
             2      and less than or equal  and less than or equal        $238.10                $12,40
                         to $114,000             to $228,000






                    Greate than $114,000  Greater than $228,000
             3      and less than or equal  and less than or equal   $170.10 + $170.10 =    Plan premium +
                                                                                                 $32,10
                                                                          $340.20
                         to $142,000             to $284,000




                    Greate than $142,000  Greater than $284,000
             4      and less than or equal  and less than or equal   $170.10 + $272.20 =    Plan premium +
                                                                                                 $51.70
                                                                          $442.30
                         to $170,000             to $340,000






                   Greater than $170,000  Greaterr than $340,000  $170.10 + $374.20 =       Plan premium +
             5
                   and less than $500,000 and less than $750,000          $544.30                $71.30







                    Greater than or equal  Greaterr than or equal  $170.10 + $408.20 =      Plan premium +
             6
                         to $500,000             to $750,000              $578.30                $77.90




          * People whose MAGI is in Tier 1 pay the standard premiums, but not IRMAA charges
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