Budget Deal Lessens Medicare Premium Increases in 2016

A couple of weeks ago, I shared a post outlining the changes we could expect for Social Security and Medicare in 2016. Since that time, Congress passed a government budget deal that includes a provision to lessen the impact of rising Medicare Part B premiums on current Medicare recipients.

As a reminder, Medicare Part B covers most health care services outside of hospitals, and thus represents one of the biggest expense items in the government-run health system. The program is voluntary, but 91% of all Medicare beneficiaries are enrolled in Part B.

The problem that had to be fixed arose because, under Social Security and Medicare rules, the government is required to collect 25% of all expected Part B costs from recipients each year—in the form of premiums. The total Part B cost was anticipated to reach $171.2 billion 2016.

However, another provision says that in years where there is no increase in Social Security benefits—such as next year—Medicare premiums must be held steady for current Social Security recipients. As a result, the entire increase would have had to be borne by enrollees who either don’t yet collect Social Security checks; enrollees with incomes above $85,000 (single) or $170,000 (married); or are dual Medicare-Medicaid beneficiaries. In all, these three categories represent 30% of 2016 Medicare beneficiaries—roughly 7 million Americans.

The new budget deal creates a $12 billion loan from the U.S. Treasury to the Medicare trust fund to reduce the impact on those Medicare participants. Instead of seeing their monthly premiums go up from $104.90 to $159.30, they will experience a more modest 14% premium increase, to $120 a month next year, plus a monthly surcharge of $3. This will allow premiums to rise more gradually, and spread the cost over a longer period of time.

Unfortunately, this isn’t a long-term fix to the problem as we could see a similar situation occur in the future. However, in the short-run it should provide relief to many people that were preparing to pay monthly premiums well above what they will pay under the terms of the new deal.

Bob Veres