Seniors Overpaid Medicare Premiums By $13.4B In 2025. That's About $212 For Every Enrollee, Joint Economic Committee Estimates

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Millions of seniors paid higher Medicare premiums past twelvemonth due to the fact that of overpayments to backstage insurers successful the Medicare Advantage program.

Those excess payments accrued Medicare Part B premiums by astir $212 per enrollee past year, adding up to astir $13.4 cardinal successful further premiums paid by seniors nationwide, according to a caller contented little released connected March 10 by the Joint Economic Committee, a bipartisan radical of lawmakers that advises Congress connected fiscal issues

Medicare Advantage, besides known arsenic Medicare Part C, allows backstage insurers specified arsenic UnitedHealth Group (NYSE:UNH), CVS Health's Aetna (NYSE:CVS) and Blue Cross Blue Shield plans to supply Medicare coverage, the committee said. Congress primitively intended the programme to outgo little than accepted government-run Medicare.

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However, the committee estimates that successful the past twelvemonth the national authorities paid Medicare Advantage insurers betwixt $76 cardinal and $84 cardinal much than it would person outgo to screen the aforesaid radical nether accepted fee-for-service Medicare.

Because Medicare Part B premiums are acceptable to screen astir one-quarter of the program's full costs, higher spending straight results successful higher premiums for each enrollees.

“Let's beryllium honorable astir the math, erstwhile Medicare Advantage is overpaid, that wealth doesn't conscionable disappear, it shows up successful the Medicare Part B premiums seniors wage each month, including those paid by accepted Medicare beneficiaries who are not getting other benefits,”  said Joint Economic Committee Chair David Schweikert, a Republican typical from Arizona.

The little estimates that covering a beneficiary successful Medicare Advantage outgo astir 17% to 20% much connected mean than covering the aforesaid idiosyncratic successful accepted Medicare.

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Those higher premiums are reducing the magnitude seniors person from Social Security. For astir beneficiaries, Medicare Part B premiums are automatically deducted from their monthly Social Security payments.

The committee estimates that since 2016, Medicare Advantage overpayments person added astir $82 cardinal to full Part B premiums. Of that amount, astir $6 cardinal was paid by radical enrolled successful accepted Medicare who don’t person the further benefits offered by Medicare Advantage plans.

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