2012 Medicare Prescription Drug Plan (part D) Premium Cost
Part D Monthly Premium
The chart below shows your estimated prescription drug plan monthly premium based on your income. If your income is above a certain limit, you will pay an income-related monthly adjustment amount in addition to your plan premium.
If Your Yearly Income in 2010 was
File Individual Tax Return File Joint Tax Return You pay
$85,000 or less $170,000 or less Your Plan Premium
above $85,001 up to $107,000 above $170,001 up to $214,000 $11.60 + Your Plan Premium
above $107,001 up to $160,000 above $214,001 up to $320,000 $29.90 + Your Plan Premium
above $160,001 up to $214,000 above $320,001 up to $428,000 $48.10 + Your Plan Premium
above $214,000 above $428,000 $66.40 + Your Plan Premium
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