Key Findings, Projections, and What It Means for IRMAA Planning

2024 Medicare Board of Trustees Report

The 2024 Medicare Trustees Report is out and the news is not that bad, unless of course you reach IRMAA at some point.

Mark Annese
Mark AnneseMay 11, 20246 min read

Good News from the 2024 Trustees Report

The 2024 Medicare Board of Trustees Report has been released and there is some good news for retirees when it comes to their health coverage.

The first bit of good news is that the program is doing better than expected — the insolvency date for Medicare Part A has been pushed out an additional 5 years. This increase in time, according to the Board, is due to the belief that the "number of covered workers and average wages" will be "higher" moving forward.

The other good news is that there is a surplus in the Medicare Part A Trust Fund that is greater by $12.2 billion than expenditures.

Concerning Projections

Unfortunately, there is some bad news within the report that will directly impact retirees, especially those who do not plan accordingly.

The Trustees are projecting that costs for Medicare Part B and D will grow by at least 8.00% over the next 5 years, while GDP is projected to grow only 4.25% over the same time period. These increases in costs mean there may need to be more "premium sharing" between the federal government and Medicare beneficiaries.

The other concerning projection is that the surplus in Medicare Part A will end in 2029, and "thereafter" there will be deficits unless Congress takes regulatory action sooner than later.

Projected Medicare Costs

Even with the bad news, costs within the program will inflate at either the same rate or in some cases even less than last year's projections. Here are the key comparisons:

Medicare Part A Costs
ProjectionsPart A DeductibleDays 61–90Lifetime ReserveSNF Daily
2024 Projections for 2025$1,684$421$842$211
2023 Projections for 2025$1,712$428$856$214
Part B Costs
ProjectionsPart B Premium (monthly)Part B Deductible
2024 Projection for 2025$185$257
2023 Projection for 2025$185$257

What This Means for IRMAA Planning

With Medicare costs projected to outpace GDP growth, the implications for IRMAA planning are significant. Higher program costs could lead to increased surcharges for high-income beneficiaries.

Financial professionals should help clients plan ahead by understanding strategies to reduce MAGI and project future IRMAA costs based on these Trustees Report projections.

Plan Ahead for Rising Medicare Costs

Our tools help financial professionals project Medicare costs using Trustees Report data.

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  • Part A insolvency date pushed out 5 additional years
  • Part A Trust Fund surplus $12.2 billion greater than expenditures
  • Part B and D costs projected to grow 8% over next 5 years
  • GDP projected to grow only 4.25% over same period
  • Part B premium projected at $185/month for 2025
  • Strategic IRMAA planning increasingly important

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Frequently Asked Questions

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What is the key finding of the 2024 Medicare Trustees Report?

The Part A insolvency date has been pushed out an additional 5 years, and there is a surplus in the Part A Trust Fund that is greater by $12.2 billion than expenditures.

What are the projected Part B costs for 2025?

The 2024 Trustees projected the Part B monthly premium for 2025 at $185 with a deductible of $257.

How fast are Medicare costs projected to grow?

The Trustees project that Part B and D costs will grow by at least 8% over the next 5 years, while GDP is projected to grow only 4.25% over the same period.

What does the report mean for IRMAA?

With Medicare costs projected to outpace GDP growth, there may need to be more premium sharing between the federal government and beneficiaries, potentially increasing IRMAA surcharges.

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