How the 2024 Social Security COLA Will Affect Medicare

Commentary October 30, 2023 at 12:12 PM
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As the new year nears, Medicare beneficiaries are thinking about the 3.2% Social Security cost-of-living adjustment, or COLA, for 2024.

The agency that oversees Medicare, the Centers for Medicare and Medicaid Services, typically takes the Social Security COLA into account when it sets Medicare premiums, and that's what happened this year.

It's important to understand the upcoming changes when helping clients select plans.

The Question

What should Medicare beneficiaries expect regarding the impact of the 2024 Social Security COLA on Medicare premiums and benefits?

The Answer

Here's what happened after CMS officials considered the Social Security COLA announcement and set the 2024 premiums, deductibles and other parameters for four major Medicare programs.

Medicare Part A

In 2024, beneficiaries of the Medicare Part A inpatient hospitalization insurance program will see a modest increase in the inpatient hospital deductible. The deductible will increase to $1,632, from $1,600 the previous year.

Most Medicare enrollees have paid enough payroll taxes to get Medicare Part A coverage without paying a premium. Only about 1% of Medicare Part A enrollees have to pay any premiums for the coverage.

If a client and the client's spouse have 30 to 39 quarters of Medicare-covered employment, the 2024 premium will be $278, the same as in 2024.

If a client and the client's spouse have less than 30 quarters of Medicare-covered employment, the premium will increased to $506, from $505 in 2024.

Medicare Part B

Clients with Medicare Part B physician and outpatient hospital services coverage will see their monthly premiums rise to $174.70, up from $164.90.

The annual deductible will increase to $240, from $226.

The increase in both premiums and deductibles shows that health care costs are rising, and clients need to the factor an acceleration in health care cost inflation into their budgets.

Medicare Advantage

The average monthly premiums for Medicare Advantage plans, or plans developed based on the Medicare Part C laws and regulations, will increase to $18.50, from $17.86 this year.

Additionally, the Inflation Reduction Act will enable many plans to offer insulin at a reduced monthly copay of $35 or less.

Medicare Part D

The average monthly premium for Medicare Part D prescription drug coverage is set to decrease slightly, moving to $55.50 in 2024, from $56.49 per month this year.

New cost-sharing limits will cap out-of-pocket expenses at $8,000. Clients who reach that limit will have no further copayments or coinsurance for prescription drugs for the rest of the year.

These changes could make prescription drug coverage more manageable for those with significant medication needs.


Bethany CissellBethany Cissell is an account executive and Medicare expert at Allsup, a national disability representation provider based in Belleville, Illinois.

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Credit: CMS

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