http://www.nytimes.com/2006/09/11/washington/11medicare.html?_r=1&ref=us&oref=sloginMedicare Costs to Increase for Wealthier Beneficiaries
By ROBERT PEAR
Published: September 11, 2006
WASHINGTON, Sept. 9 — Higher-income people will have to pay higher Medicare premiums than other beneficiaries next year, as the government takes a small but significant step to help the financially ailing program remain viable over the long term.
The surcharge is a major departure from the traditional arrangement under which seniors have generally paid the same premium.
It is expected to affect one million to two million beneficiaries: individuals with incomes exceeding $80,000 and married couples with more than $160,000 of income. For individuals with incomes over $200,000, the premium, now $88.50 a month, is expected to quadruple by 2009.
The surcharge was established under a little-noticed provision of the 2003 law that added a prescription drug benefit to Medicare.
Supporters of the surcharge say it makes sense for wealthy people to pay more at a time when Medicare costs are soaring. But some Medicare experts worry that wealthy retirees will abandon the program and rely on private insurance instead, leaving poorer, sicker people in Medicare.
The premium in question is for Part B of Medicare, a voluntary program that covers doctors’ services, diagnostic tests and outpatient hospital care.
“The higher premiums could drive people with higher incomes out of Medicare,” said Samuel M. Goodman, a 73-year-old retiree in Derwood, Md. “Medicare would then become a welfare program, rather than a universal social insurance program, and it would be easier to attack.”
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