By 2025, $13.4B in senior Medicare premiums will be overpaid. That’s about $212 per enrollee, the Joint Economic Committee estimates


Millions of seniors paid higher Medicare premiums last year because of higher payments to private insurers in the Medicare Advantage program.

Those extra payments increased Medicare Part B premiums by about $212 per enrollee last year, adding to about $13.4 billion in extra premiums paid by seniors nationwide, according to a new issue released March 10 by the Joint Economic Committee, a bipartisan group of lawmakers that advises Congress on fiscal issues.

Medicare Advantage, also known as Medicare Part C, allows private insurers such as United Health Group (NYSE: UNH ), CVS Health Aetna (NYSE: CVS ) and Blue Cross Blue Shield to provide Medicare coverage, the committee said. Congress originally intended the program to be less expensive than traditional government-run medicine.

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However, the committee estimates that last year the federal government paid Medicare Advantage insurers between $76 billion and $84 billion more to cover the same people under traditional fee-for-service Medicare.

Because Medicare Part B premiums are set to cover about a quarter of the program’s total costs, higher costs directly result in higher premiums for all enrollees.

“Let’s be honest about the math, when Medicare benefits are overpaid, that money doesn’t just go away, it shows up in the Medicare Part B premiums that seniors pay each month, including those paid by traditional Medicare beneficiaries who don’t get additional benefits,” said the chairman of the Joint Economic Committee. David Schweickerta Republican representative from Arizona.

Short estimates that covering a beneficiary in Medicare Advantage costs an average of 17% to 20% more than covering the same person in traditional Medicare.

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These higher premiums reduce the amount that seniors receive from Social Security. For most beneficiaries, Medicare Part B premiums are automatically deducted from their monthly Social Security payments.

The committee estimates that since 2016, Medicare Advantage overpayments have added about $82 billion to total Part B premiums. Of that amount, nearly $6 billion was paid by people enrolled in traditional Medicare who did not receive the additional benefits offered by Medicare Advantage plans.

About 85% of the additional premium burden falls directly on seniors, while the rest is covered by state and federal taxpayers.

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“If Congress is serious about affordability, fiscal responsibility and fairness, we need to take a hard look at Medicare Advantage and make sure the rules are the same for everyone,” Swickert said. “Today, between aggressive upcoding, questionable quality bonuses, and structural copayments in Medicare Advantage, seniors who stay in traditional medicine are effectively subsidizing the system. It’s not sustainable, it’s not fair, and it can be reformed.”

Annual premiums are projected to increase from about $2,440 per person today to about $5,000 by 2035. If the trend of copayments continues, about $450 of the estimated cost will come from medical benefit copayments alone.

Seniors looking to better manage rising healthcare costs and protect their retirement income can use platforms such as money pickle Connect with trusted financial advisors who can help you plan a budget, track expenses, and develop strategies to maintain monthly cash flow.

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This article projects seniors will pay more than $13.4B in medical premiums by 2025. That’s about $212 per registration, the Joint Economic Committee estimate originally appeared on Benzinga.com.

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