irmaa brackets for 2024. Calendar Year 2024 Participation in the Medicare Advantage Value-Based Insurance Design Model: Innovating to Meet Person-Centered Needs. irmaa brackets for 2024

 
 Calendar Year 2024 Participation in the Medicare Advantage Value-Based Insurance Design Model: Innovating to Meet Person-Centered Needsirmaa brackets for 2024  12

2023 IRMAA Brackets. The maximum. $194,000 or less. The standard monthly premium for Medicare Part B enrollees will be $174. We have all 12 data points out of 12 for the IRMAA brackets in 2024 (based on 2022 income). The annual deductible for all Medicare Part B beneficiaries is $198 in 2020, an increase of $13 from. Those earning more than these. 80 from $164. The first income threshold for 2023 Medicare premiums will be at least $95,000 if the average CPI-U for Sep 2021 to Aug 2022 is at least. The standard monthly premium for Medicare Part B enrollees will be $174. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. For Part D, the IRMAA surcharges range from an additional $12. Here are the IRMAA income brackets for 2022 2023, and 2024. Again, the actual distribution can occur in 2024 or as late as April 1, 2025. The average Part D premium is around $55. Greater-income Medicare beneficiaries additionally pay a surcharge for Half D. Unfortunately, that's not the case for 2024, when these charges will be back on. Here’s the breakdown of the 2024 Part B and Part D IRMAA. If your income exceeds a specific. $103,000 or less. The government will apply the 2024 IRMAA bracket to the OP's 2022 MAGI to determine the OP's Medicare "Income-Related Monthly Adjustment Amount" (IRMAA) for 2024. How much more depends on how much you exceed these numbers. 2024 Medicare Advantage ratebook and Prescription Drug rate information. 70 for 2024, an increase of $9. CMS appreciates the submitted comments and considered applicable comments as we finalized the policies contained in the 2024 Rate Announcement. The Centers for Medicare Services is announcing the 2024 IRMAA Thresholds now that the August CPI-U is official. Calendar Year 2024 Participation in the Medicare Advantage Value-Based Insurance Design Model: Innovating to Meet Person-Centered Needs. The Centers for Medicare & Medicaid Services (CMS) released the premiums, deductibles, and coinsurance rates for the Part A and B programs, as well as the Part D income-related monthly adjustment amounts (IRMAA) for 2024 premiums. 8 Billion in 2022 and Continues to. Married Submitting Collectively: >= $750,000. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. . The costs will go up from the current $164. That’s why I’m looking for sensible predictions, not the actual brackets. Our 2021 income was going to escalate my premiums by two levels with Aunt IRMAA—or so I was initially informed. Starting in 2024, each bracket will increase by about 5. In 2023, the premium for Part B, medical insurance, is going down by $5. Your plan premium. 3rd Surcharge Bracket: 7. Are you correctly planning for and avoiding Medicare's IRMAA penalties? If not, this tax hurdle can cost you thousands per year. The projected average total Part D beneficiary premium is projected to decrease by 1. The 2024 IRMAA Brackets. 70. In 2023 the CPI-U average = 301. The Finance Dude's website estimates have always been good ones AFAIK, so I just go by that as my source. For 2024, if your income is greater than $103,000 and less than $397,000 the IRMAA amount is $384. For Part D, the IRMAA surcharges range from an additional $12. The true cost of Part B that IRMAA beneficiaries pay is 35% for level 1, 50% for level 2, 65% for level 3, 80% for level 4, and 85% for level 5. Married couples filing jointly and making over $182,000 will also pay higher. Married Submitting Individually >= $403,000. Stay informed, save money!IRMAA stands for the Income Related Monthly Adjustment Amount that is added to some people’s Medicare premiums. The annual deductible for all Medicare Part B beneficiaries will be $240 in 2024, an increase of $14 from the annual deductible of $226 in 2023. The income brackets for high-income premium adjustments for Medicare Part B and Part D will start at $103,000. 50 in 2024. 50 in 2024. 2024 IRMAA Brackets Individual $103,000 or less/MFJ $206,000 or less – No surcharge 2. In 2024, the first $11,600 of taxable income will fall into the 10% tax bracket, which means $600 of additional income will be taxed at 10%, instead of 12% in the current tax year. The IRMAA calculation takes the AGI and tax filing status and compares it to these thresholds. Example: Spreading out withdrawals In the CY 2024 MA and Part D Advance Notice, CMS proposed updates to payment factors for CY 2024 and received a wide variety of comments on our proposals. IRMAA will also be referred to as “higher Medicare premiums. IRMAA surcharges for Part B are. should you’re . I’m also sharing: What is IRMAA (and what does it stand for) How IRMAA. Individuals $97,001-$123,000 or couples $194,001-$246,000 paid an additional $68 per month. The AMT exemption rate is also subject to inflation. For the 2024 predictions of IRMAA for 0% or 5%, and regardless of which of the above two monthly increases to the CPI-U that one uses from November 2022 to August 2023, and consistent with FactualFran's nudging, the predicted 2024 IRMAA brackets are exactly the same, due to rounding to the nearest $1000. MAGI is not the same as your regular adjusted gross income (AGI); it includes additional sources of income like tax-exempt. 90 in 2023. To determine whether you are subject to IRMAA charges,. For example: a 2024 IRMAA is based on the beneficiary’s income from 2022. Part B beneficiaries usually pay about 25% of the true cost for Part B. 8% from $56. 70. A 40% surcharge on the Medicare Half B premium is about $800/12 months per individual or about $1,600/12 months for a married couple each on Medicare. 64). to avoid pushing income into higher tax brackets. IRMAA is a surcharge that people with income above a certain amount must pay in addition to their Medicare Part B and Part D premiums. $103,000 or less. This increase would have been higher, but Congress put a cap on the. Also, detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. Learn more about Medicare. 50 a month, depending on income. Just realize that their 2023 estimates, based on 2021 income, are updated often, already up over 5% in a few months, so you may have the opportunity to do more Roth conversions in December 2022, for 2024 IRMAA. For 2024, if your income is greater than $103,000 and less than $397,000 the IRMAA amount is $384. File joint tax return. The federal government calls individuals who obtain Medicare beneficiaries. The tax rates will remain 10%, 12%, 22%. Which bracket you fall into depends on your modified adjusted gross income (MAGI). Premiums can be higher or lower than the basic premium for enrollees who receive Part B benefits through the Medicare Advantage program. 4. (For 2022, the standard Part B premium amount is $170. 033: IRMAA and Equitable Relief: TN 4 07-11: HI 01101. Now please keep in mind that at any point between now and the beginning of the 2024 Congress or the current. You’ll also have to pay. In 2024, individuals whose income is higher than $103,000 and. Medicare Shared Savings Program Saves Medicare More Than $1. Since retirement in 2022, we have been converting up towards the top of the 24% bracket in 2022 and 2023. *You may need to pay an Income-Related Monthly Adjustment Amount (IRMAA) depending on your income level. While bumping into the next IRMAA bracket may be avoidable in some years, IRMAA is reassessed each year. The annual deductible for all Medicare Part B beneficiaries will be $240 in. What are the Medicare IRMAA brackets for 2024? the following show what the brackets could possibly look like as of this time they are not decided 2024 IRMAA if. 6 billion in 2023 from Medicare beneficiaries in IRMAA. 4% for each type of tax filer for 2024, such as those filing separately or as married couples. . 70 in 2024. gov. Greater than or equal to $750,000. Most other Medicare Part D beneficiaries earning over $103,000 individually or over $206,000 for couples filing joint will see a small increase in their Part D IRMAA payments. 50 in 2024. 43% from last year. This expected amount is a decrease of 1. Converting up to the 22% bracket, my additional Roth conversion for the year is $104,050, the projected highest Federal tax bracket I may reach is 22% and I'm projected to trigger the first IRMAA surcharge tier in 2024 because my 2022 AGI is. Your Medicare surcharge is calculated using a 2-year lookback based on your modified adjusted gross income (MAGI). They are typically announced in October of the preceding year by the Centers for Medicare & Medicaid Services (CMS). Take a look at the 2021 IRMAA income brackets below. gov. The CMS establishes income brackets with corresponding IRMAA amounts. The standard monthly premium for Medicare Part B enrollees will be $174. Medicare Part D beneficiaries with annual income (MAGI) over $103,000 (individual) or over $206,000 for couples filing joint. . Tax Brackets and Rates 2022, 2023, 2024. From 2022 to 2023 the CPI-U, if inflation remains constant, will increase by 5. If you are using 2024 MAGI to determine 2024 IRMAA, it will be done based on your good faith estimate of your 2024 MAGI (since you won’t file that tax return until April 2025 or later). 90 each month on top of the cost of your Part D premium. 00% for IRMAA-Part B and for IRMAA-Part D the. 2022 Taxes Will Determine 2024 Medicare IRMAA. For 2024, the top rate of 37% applies to individuals with taxable income above. The CMS calculates the IRMAA. You pay higher Medicare Part B and Part D premiums if your income exceeds certain thresholds. 20 from $170. That’s why I’m looking for sensible predictions, not the actual brackets. 70 for 2024, an increase of $9. The 2022 IRMAA tiers determine the Medicare premiums to be paid in 2022, not in 2024. The standard monthly premium for Medicare Part B enrollees will be $174. 70 a month. 50. The 2024 IRMAA Brackets. 50 in 2024. 80 and $560. My total Medicare Part B premium for 2023 was set to climb from the standard $164. Medicare IRMAA is a monthly adjustment amount that higher income earners must pay more for Part B and D premiums. What are the 2024 IRMAA Brackets? The IRMAA for Part B and Part D is calculated according to your income. To start, below is an estimate of the 2024 IRMAA brackets assuming 0% inflation. The IRS issued a press release describing the 2024 tax year adjustments that will apply to income tax. so what you do in 2022 can bite you in 2024. 1. So, for 2024, the SSA looks at your 2022 tax returns to see if you must pay an IRMAA. The tax year 2023 adjustments described below generally apply to tax returns filed in 2024. 40. However, you can make reasonable estimates and give yourself some margin to stay clear of the cutoff points. The surcharge for Part B can take your 2021 premium from $148. Oct, 15 2023 — The 2024 Medicare Part D and Medicare Advantage plan annual Open Enrollment Period (AEP) begins today, October 15th, and continues through December 7th. Beginning in January 2024, the income threshold for full benefits will be raised to 150 percent of the federal poverty level ($21,870 for an individual. Other beneficiaries pay Income-Related Monthly Adjustment Amounts (IRMAA), which vary by income level. 70 for 2024, an increase of $9. Keep an eye on CMS announcements and updates to stay informed about changes in premiums and income brackets. Maximum Capital Gains Rates For married individuals filing joint returns and surviving spouses, the maximum zero rate amount for 2024 is projected as $94,050, versus $583,750 for the maximum 15. 70 for 2024, an increase of $9. Schulte expects the 2024 IRMAA income thresholds to be $101,000 for singles and $202,000 for married couples. 61% for 2022. Oct 12, 2023. 70 monthly in 2024, about 8% of Medicare Part B beneficiaries with higher incomes will pay more, the centers said. Starting January 1, 2024, if you have Medicare drug coverage (Part D) and your drug costs are high enough to reach the catastrophic coverage phase, you don’t have to pay a copayment or coinsurance. The annual deductible for all Medicare Part B beneficiaries will be $240 in 2024, an increase of. As a single filer, the ideal W2 income amount for 2024 is a taxable income of $191,950. Each year, the IRS adjusts tax brackets, the standard deduction and approximately 60 other tax provisions that are designed to adjust higher for inflation. lifetime reserve days. Thankfully they are under IRMAA, but by age 84 they will reach that first bracket. Single. 8 life. For 2024, the IRMAA surcharge will be added to your premiums if your 2022 income was over $103,000 (or $206,000 if you’re married). Calculate your personal tax rate based on your adjusted gross income for the current tax year. Medicare will make the official announcement quickly. T he Part B monthly premium, paid by all people on Medicare, is rising to $148. The income-related monthly adjustment amount (IRMAA) sliding scale is a set of statutory percentage-based tables used to adjust Medicare Part B and Part D prescription drug coverage premiums. The standard monthly premium for Medicare Part B enrollees will be $174. IRMAA thresholds are adjusted for inflation. Convert as much as you can for 2023, 2024 and 2025. 80 from $164. However, if you are in the highest IRMAA income bracket for Parts B and D, you will pay at least an additional $500 a month or $6000 a year. 2023 2024 2025 Medicare Part B IRMAA Premium MAGI BracketsThe penultimate bracket is for those whose income was between $170,000 and $500,000 ($340,000 to $750,000 for joint filers) will pay a monthly premium of $544. To illustrate this challenge, note that numerical examples here use the 2023 tiers, based on 2021 income, but it is likely (e. 90/month in 2023. See an overview and example on how tax brackets and rates are applied each tax year. The annual deductible for all Medicare Part B beneficiaries will be $240 in. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. 9, 2023. 010A for a definition of MAGI). Simply put, IRMAA is considered a cliff penalty because even one dollar over the limit could cost you three to four times more for the same Medicare services. IRMAA rates for 2022. Those close to the thresholds may be able reduce their 2024 and 2025 premiums (based on 2022 and 2023 MAGI, respectively) by realizing. First, it is important to note that the official IRMAA Brackets for 2024 have not yet been released. 90 in 2023. IRMAA brackets for 2024 premiums. Previous Fact Sheet. 2024 IRMAA bRACKETS WITH 5% inflation Nickel and Dime. So Medicare should announce the official 2023 IRMAA brackets in November or December 2022. Looks like the avg inflation will be more than 3% for 2023. Maryland: 301-519-8041. 2023 IRMAA Brackets. This means federal law asks that a careful tax planner like the OP. 90/month in 2023. The standard monthly premium for Medicare Part B enrollees will be $144. . 90 in 2023, which is down $5. 2024 IRMAA: Slight increase in Medicare Part D IRMAA payments for some along with changes in the IRMAA brackets due to annual inflation adjustments. It’s secure, HIPAA-compliant, and trusted by healthcare professionals worldwide. In 2023, Medicare beneficiaries with a modified adjusted gross income above $97,000 have an income-related monthly adjustment (IRMAA) added to their Medicare Part B premiums. 80 after paying their Part b premiums for 2023. More info at the link provided for the other cost like IRMAA, Part B. The increases in the various IRMAA brackets have ranged from 4. To start, below is an estimate of the 2024 IRMAA brackets assuming 0% inflation. 2. Among other provisions, the Rate Announcement includes the following: Payment Changes/Growth Rates: The effective growth rate for 2024 MA non-End-Stage Renal Disease (ESRD) rates is 2. This is the ultimate guide to the 2023 IRMAA brackets (and this projected 2024 IRMAA brackets). While the standard monthly premium for Medicare Part B in 2023 is $164. Extra Help—a program that helps cover your Part D drug costs—will expand to cover more drug costs for certain people with limited resources2023 2024 2025 Medicare Part B IRMAA Premium MAGI Brackets. If your MAGI for 2022 was less than or equal to the “higher-income” threshold — $103,000 for an individual taxpayer, $206,000 for a married couple filing jointly — you will pay the “standard” 2024 Part B rate of $174. Most Medicare Part B users – those whose tax returns in 2019 were $88,000 or less for an individual tax return (or married but filing a separate return) or $176,000 for a joint return – are paying $148. The premium increase comes on the heels of a decrease in 2023 in the. 90 premium + $164. 40 in total premiums and couples will save $124. In 2025, this annual cap will drop to $2,000 and will be indexed annually thereafter. Calendar Year 2024 Participation in the Medicare Advantage Value-Based Insurance Design Model: Innovating to Meet Person-Centered Needs. For the 2024 thresholds, see our post on the 2024 IRMAA Backets. 30. The standard deduction is the fixed amount the IRS allows you to deduct from your annual income even if you don’t itemize your tax return. The IRMAA is calculated on a sliding scale with five income brackets topping out at $500,000 and $750,000 for individual and joint filing, respectively. 2023 IRMAA Brackets. 80 IRMAA surcharge) Medicare Part D Premium: $31. $19,250 of the qualified dividends and long-term capital gains ($89,250 – $70,000) is taxed at 0%. Schulte expects the 2024 IRMAA income thresholds to be $101,000 for singles and $202,000 for married couples. Medicare Part B IRMAA 2024 Brackets; 2022 Individual tax return 2022 Joint tax return 2022 Married and separate tax return 2024 Part B monthly premium; $103,000 or less: $206,000 or less: $103,000 or less: $174. Bookmark Icon Kipmc7 Level 3 How much do they raise the income limits for each of the tax brackets? Is it by the CPI or some inflation number? For example the. In this article, I’m sharing everything you need to know about the 2023 IRMAA Brackets (and the projected 2024 IRMAA brackets!). Complete breakdown of income thresholds and the corresponding premium amounts in the chart below. 8 billion from Medicare beneficiaries in IRMAA. The most common circumstances for a New Initial Determination are the life changing events listed on Form SSA-44, with stopping or reducing work the most obvious one. Northern Virginia: 703-691-1888. The annual deductible for all Medicare Part B beneficiaries will be $240 in. 0 passes then someone who turns 72 in 2023 will be 73 in 2024 and must start RMDs in 2024. 010. 12% for 2023 and 9. 2024 Medicare Parts A & B Premiums and Deductibles. However, for those above the IRMAA threshold, premiums range between $230. Part B IRMAA premiums (2024) Individual . 3rd Surcharge Bracket: 7. IRMAA is based on a Medi c are-specific form modified adjusted gross income (MAGI) from two years ago. Medicare Part B premiums and their income-related monthly adjustment amounts (IRMAAs) are based on modified adjusted gross income from two calendar years prior. There are two numbers used to determine MAGI for IRMAA calculations. Roughly 15% of all eligible Medicare beneficiaries are in IRMAA today. The Medicare Part B premiums, the IRMAA brackets and add-on were just announced. 90 per month for those in the lowest income-adjustment bracket. 8% in 2024, from $56. At a $191,950 taxable income, your effective tax rate is closer to 18%, which is quite reasonable. This fact sheet. This is custom heading element. 70 for 2024, an increase of $9. Consequently, people at the low end of their 2019 IRMAA income bracket wil . This fact sheet discusses the provisions of the. 2024 IRMAA Cost Sharing for Higher Income Medicare Beneficiaries. 80 from $164. The federal government will collect $63. 70 (normal $164. Individuals enrolled in Medicare Part B, which covers doctor visits and other outpatient services, will pay a monthly premium of $164. For couples who file a joint tax return, that threshold is $194,000 per year. The standard monthly premium for Medicare Part B enrollees will be $174. 60 and Medicare Part D monthly premiums by up to $76. 7. Knowing the brackets and your marginal tax rate can help with year-end planning. That shakes out to tax savings. The IRS increased its tax brackets by about 5. Oversimplifying, our taxable. Ultimately the cost (tax) for having too much money while in Medicare is only going to increase in 2024. 60, and an annual total of. Oversimplifying, our taxable. $206,000 or less. Find Medicare Plans in 3 Easy Steps. The 2023 bracket increase should be higher than last year, due to inflation. The issue, though, is that your Social Security benefit pays for these IRMAA surcharges automatically. By 2024 this percent is expected to increase to over 16. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. 33%. And starting in 2024, those IRA catch up limits will be indexed for inflation, too. The standard monthly premium for Medicare Part B enrollees will be $174. 70 for 2024, an increase of $9. The Finance Buff's IRMAA estimate for 2024 is missing 14 months of inflation data at this point so I would follow his advice to "give yourself some margin to. 65%. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. In other words, someone with $100,000 in taxable. premium shown includes the IRMAA surcharge. The IRMAA surcharge is added to your 2023 premiums if your 2021 income was over $97,000 (or $194,000 if you’re married). 70 per month. 70 for 2024, an increase of $9. 00% for IRMAA-Part B and for IRMAA-Part D the surcharges will inflate by 5. Medicare Shared Savings Program Saves Medicare More Than $1. Married Filing Separately. However, that cost is based on your monthly adjusted gross income from the last two years. Again, Congress can change the rules at any point and still has time to do, but if Congress does NOT change the rules the IRMAA Brackets next year should be:. 73% to 8. According to Social Security. What will IRMAA be for 2024? The specific IRMAA amounts for 2024 have not been released yet. Therefore, Medicare Part B prices will increase in 2024. 70: More than $103,000 and up to $129,000:The standard Part B premium for most people in 2024 is $174. Greater than $366,000 and less than $750,000. RMD Effect Address required minimum distribution (RMD) requirements well in advance of the required beginning date, explaining how. IRMAA: Medicare Floors. 00% from 2023 and begin at $103,000 for an individual. 70. Medicare beneficiaries should pay a premium2023 Tax Brackets The IRS released the tax brackets based on the annual chained consumer price index values from August 2021 to September 2022. Larger-income Medicare beneficiaries additionally pay a surcharge for Half D. The IRMAA is calculated on a sliding scale with five income brackets topping out at $500,000 and $750,000 for individual and joint filing, respectively. Married Filing Jointly. CMS appreciates the submitted comments and considered applicable comments as we finalized the policies contained in the 2024 Rate Announcement. gov IRMAA brackets are “a set of statutory percentage-based tables used to adjust Medicare Part B and Part D prescription drug. More than $103,000 and up to $129,000. 10 in 2022. The income brackets are the same. Normally we make under $100,000/year filing jointly but a sale of investment property threw us into a much higher bracket. For those in the over $114,000 to $142,000 bracket, the premium is $340. IRMAA Brackets for 2024. 49 in 2023 to $55. Higher income Medicare beneficiaries pay more for Medicare Part B and Part D premiums. 80 from $164. 50 IRMAA surcharge) Example 2: Alison and Jeremiah are married with a MAGI of $300,000 in 2021. The IRMAA premium calculation is based on your modified adjusted gross income (MAGI) from two years prior. Projected 2024 Tax Rate Bracket Income Ranges. Supply: Medicare Prices, Medicare. If you are unsure why you are paying an IRMAA, you can call the Social Security hotline at 800-772-1213. At the time of this report the average annual rate of inflation was higher by 5. Keep in mind, an appeal would only be beneficial if the change moves you to a lower IRMAA bracket. Both its existence and the "look back", where the 2024 IRMAA will be derived from the 2022 tax return. These figures change annually with. If you are over 63 and have a high income, this Roth conversion calculator shows the projected Medicare Income-Related Monthly Adjustment Amount (IRMAA) you may pay per month starting in 2025. 80 from $164. So you must think about how what you’re doing this year is going to impact you two years or even ten years from. $560. 40 per month, depending on income. 40 a month in 2024. 70 for 2024, an increase of $9. 80 from $164. Correction to 2024 brochure . Medicare 2024 IRMAA Brackets: Upcoming Years Surcharge Amounts [UPDATED] With the announcement of the August CPI-U the 2024 Brackets are official, they will increase by… dan mcgrath November 6, 2023The Medicare Income-Related Monthly Adjustment Amount (IRMAA) is an amount Medicare beneficiaries pay in addition to your Part B or Part D premium if their income is above a certain level. The revenue brackets are the similar. 70 for 2024, an increase of $9. The usual Half B premium is $164. 70 per month in 2022 under CRS estimates, and $234. Unlike the income tax brackets which are marginal, the IRMAA brackets are a strict reading of the modified adjusted gross income, and if you exceed the limits for each bracket, you may be subject to higher Medicare expenses for the following two years. The IRMAA brackets themselves also adjust for inflation. The 2023 brackets won’t be out till this November, but I’m looking for 2024 (since that’s what 2022 income affects). I additionally challenge the Social Safety COLA and the tax brackets for subsequent 12 months. Standard monthly premiums are slated to rise by $9. There are five IRMAA income brackets depending on your income and filing status. Yet an estimated 7% of Medicare’s 64. The 2022 IRMAA tiers are likely to be published in mid-November 2021. So it will often make sense to convert up to just below the top of an IRMAA bracket. It is exasperating! Medicare Part B Premium: $329. For single taxpayers. 60 in 2020. The agency credits improvements to. The 2023 income threshold for Medicare IRMAA is $97,000 for beneficiaries filing individual tax returns and $194,000 for beneficiaries filing joint tax returns. Medicare Part B IRMAA Calculating the 2024 IRMAA Thresholds: The 12-month CPI-U average ending in August of 2022 = 285. Put another way, this 3. The average total Part D premium is the sum of the average basic premium and the average supplemental premium for plans with enhanced coverage and is the most accurate current projection of what people will pay.