But according to TSCL studies, Medicare Part B premiums are one of the single fastest - rising senior costs. Data from TSCL's annual survey of senior costs indicate that with next year's Part B increase, premiums will be 168% higher than 2000, rising on average 10.5% per year, even though there was no increase at all over the past two years. Part D premiums have grown roughly 60% since the program started in 2006, averaging about 6% per year. .Higher-income beneficiaries. People with modified gross incomes above ,000 (individuals) or 0,000 (couples) in 2017 are required to pay higher Part B premiums. The amount they pay varies depending on income. According to Medicare Trustees, their premium increases will range from to per month. .Thus the new formula went into effect almost immediately for most people and is one reason why retirees born over the ten-year period of 1917 through 1926 were affected, not only those covered by the five-year phase-in. In addition, the economy did not perform the way Congress and the Social Security Administration assumed it would under the new benefit formula. Slower than anticipated wage growth, and higher than expected price inflation, resulted in even greater benefit reductions than under original assumptions. These economic conditions persisted for a decade, thus affecting those born over a ten-year period. .TSCL feels that individuals should not be penalized financially if they are unable to enroll on time due to technical issues with the website, and we enthusiastically support the Delay until Fully Functional Act. We look forward to working with Sen. Rubio and Rep. Radel in the coming months to help build support for their bill. .House Postpones Thursday AHCA Vote .Normally it would seem logical that a bi-partisan bill would have a very good chance of passing in the Senate, but these are not normal times. In fact, four of the five Republican Senators whose offices we visited this week, and who are on the Finance Committee, voted against their own chairman's bill. The five Senate offices we met with were Scott (SC), Thune (SD), Toomey (PA), Alexander (TN), and Burr (NC). We picked these Senators because all are members of at least one of the committees that any bill to lower drug costs would have to go through. .In addition, you will need a plan to cover the portion of costs that Medicare does not pay which are considerable, either a Medicare supplement (Medigap plan) with a Part D plan for drug coverage or Medicare Advantage plan that includes drug coverage. Spending on Medicare and health insurance premiums comprise the biggest share of healthcare costs, nearly two-thirds of overall senior healthcare spending. .That leaves Grassley with a ticking clock to build enough support for his proposal to get it through the Senate and to convince House leaders to take it up as well. House leadership has its own signature drug pricing measure that is closer to Trump's own order than Grassley's bill. .Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care.