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Senior Citizen Politics

Higher Income Seniors to Pay More for Medicare Drug Plans in New Budget

Higher premiums based on income began this year for Part B

Feb 4, 2007 – Higher income senior citizens will pay higher premiums in Medicare's drug program next year, if a budget proposal by President Bush is approved. It was reported last week that President Bush will propose reducing $70 billion from Medicare and Medicaid in his new budget to be released Monday. The New York Times reports today that one part of the Bush plan is to impose a surcharge on premiums for Medicare’s prescription drug benefit, as he did this year for those in Medicare Part B.

 

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This year, for the first time, Medicare began charging a higher monthly premium for senior citizens earning $80,000 or more per year. The Part B rates increase with higher incomes up to $200,000 a year. The amounts determining the premium bracket are doubled for couples filing joint tax returns. For example, the higher rates begin at $80,000 for an individual or $160,000 for a couple.

In the current Part B plan, the bracket rates are set to increase with inflation. But, the New York Times report by Robert Pear says "the president will ask Congress to 'eliminate annual indexing of income thresholds,' so that more people would eventually have to pay the higher premiums."

In other words, the bottom rate – say $80,000 – would stay at that amount and more senior citizens would pass the threshold just due to inflation.

"The president contends that he can make the rule changes without any action by Congress. But Congress could try to block some or all of the changes," says the Times story.

Pear writes, "the proposal, expected to raise $10 billion over the next five years, is one of many advanced by Mr. Bush in a $2.8 trillion budget that aims to eliminate the deficit by 2012."

Other actions he is expected to propose including holding back on the fees paid to home health agencies, hospitals, nursing homes and other health care providers are expected to produce most of the savings.

>> Read the complete story in the New York Times

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