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Liam McGuire

Does Medicare Part B premium paid through Humana Give Back plan count as Social Security income?

I'm confused about how Medicare Part B premiums affect my taxable Social Security income. My situation: I enrolled in a Humana Give Back Medicare Advantage plan that covers my $185 monthly Part B premium. Normally this would be deducted from my SS check, but now Humana pays it. Does this $185/month ($2,220 annually) now count as additional income on my Social Security benefits for tax purposes? My tax advisor said it might, but I can't get a straight answer from SSA after calling four times. Has anyone dealt with this Medicare premium/income situation before?

no it doesnt count as income. its just that youre getting your full SS amount instead of having the part B deducted. same happened with me last year when i switched to AARP plan that paid my part B

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Thank you! My concern is that since I'm not paying the premium myself anymore, would the IRS view that $185/month as some kind of additional benefit that's taxable? I'm right at the income threshold where 85% of my SS becomes taxable.

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This is a great question that many beneficiaries misunderstand. The Part B premium payment through your Medicare Advantage plan (like your Humana Give Back plan) is considered a premium reduction or rebate - not additional income. It will not increase your taxable Social Security income. What's actually happening is the Humana plan is essentially giving you back what would have been deducted. Your 1099-SSA at tax time will show your full benefit amount, just as it would if you were paying the premium yourself. The IRS doesn't consider this arrangement as adding income - you're simply receiving a plan benefit in the form of premium assistance. For tax purposes, your income levels remain unchanged by this arrangement.

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This happened to my parents and they were so worried about the tax stuff too! ended up being fine just like u said

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I went through this EXACT situation last year!!! Called SSA like 8 times and got disconnected every single time trying to get this answered. SO FRUSTRATING!!!! Finally got through after waiting 2 HOURS on hold. The agent confirmed that the premium rebate is NOT considered income. It's just the insurance company paying that bill for you as part of their plan benefits. Your taxable income stays exactly the same as before.

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Healthcare professional here. Let me clarify how Medicare Advantage plans with Part B give-back benefits work for tax purposes: 1. The amount is officially called a "Part B Premium Reduction" or "Part B Premium Rebate" 2. This reduction comes from the Medicare Advantage plan's portion of funds that Medicare pays them to administer your benefits 3. From a tax perspective, this is NOT considered additional income 4. Your Social Security taxable income is based on your gross benefit amount BEFORE Medicare premium deductions 5. Your SSA-1099 form (Box 5) shows the net amount received plus Medicare premiums deducted - this doesn't change with a give-back plan Your tax advisor is incorrect if they suggested it would increase your taxable income. The give-back is effectively reducing what you pay for healthcare, not increasing your income.

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Thank you so much for this detailed explanation! This makes perfect sense now. I was worried because I'm right at the threshold where more of my SS becomes taxable, so even small changes in income matter. I'll share this with my tax advisor who clearly misunderstood how these plans work. Really appreciate everyone's help!

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My brother had Humana giveback too and it was fine no extra taxes BUT watch out they might not cover some things regular Medicare does!! He had to switch back when he needed physical therapy because Humana only covered like 6 visits then wanted $50 copay for each visit after that. Just saying be careful with those plans!!

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Same thing happened to my neighbor! These Medicare Advantage plans sound great with the giveback money but then they deny coverage for things regular Medicare would cover no problem. My neighbor couldn't go to her regular specialists anymore.

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To address the tangential discussion about Medicare Advantage coverage limitations: While it's true that MA plans have networks and coverage rules that differ from Original Medicare, this varies significantly by specific plan. The Part B premium rebate/reduction is a separate feature that doesn't directly impact coverage decisions. To clarify further on the original question: The premium reduction mechanism involves the MA plan sending money to SSA, who then does not deduct (or reduces the deduction of) the Part B premium from your Social Security check. In terms of tax forms, your SSA-1099 would show your full benefit amount and any amounts actually deducted for Medicare. The give-back portion never appears as taxable income anywhere.

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thanks for explaining this so well! i was confused when i first got my giveback plan too. my accountant didnt understand how it worked either

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I'm just wondering WHY your tax advisor would think this?? Did they misunderstand something about how these plans work? Because that's concerning advice from someone who should know better! Maybe they thought the rebate was being paid directly to you as cash??? That would be different (and would count as income). But when it's just reducing what gets taken out of your check, that's definitely NOT income!

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You're probably right - my tax advisor isn't very familiar with Medicare plans (he's young). He probably thought Humana was sending me a check for $185 each month rather than just covering the premium. I'll clarify with him. Thanks to everyone for helping clear this up!

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I'm glad you got this sorted out! It's actually pretty common for tax professionals to be unfamiliar with the specifics of Medicare Advantage give-back plans since they're a relatively newer feature. The key thing to remember is that you're not receiving any additional money - you're just not having the premium deducted from your Social Security check because the insurance company is handling that payment directly to Medicare. Your actual benefit amount and taxable income remain exactly the same. For future reference, if you ever need to explain this to another tax preparer, you can tell them it's similar to having an employer pay for health insurance - the premium coverage isn't considered taxable income to you.

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That's a really helpful analogy about employer-paid health insurance! I never thought about it that way but it makes perfect sense. The insurance company is essentially acting like an employer paying the premium on your behalf. I'm new to Medicare and all these different plan options are so confusing. Thanks for explaining it in simple terms that even someone like me can understand!

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Just wanted to add my experience as someone who switched to a give-back plan last year - it really is just premium assistance, not additional income. I was initially worried about the same thing because I'm also close to the 85% taxation threshold. What helped me understand it better was thinking of it like this: instead of Medicare taking $185 from your SS check and then you paying Humana, Humana just pays Medicare directly so there's no deduction needed. Your actual SS benefit amount never changes, and neither does your taxable income. The 1099-SSA form I received showed the same gross benefit as always. It's basically just a different payment flow, not extra money coming to you.

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This is such a clear way to explain it! I'm also new to Medicare and was considering a give-back plan but was worried about the tax implications. Your "different payment flow" explanation really helps me understand that it's not actually changing the money I receive, just who pays what to whom. It sounds like these plans can be a good deal as long as you're comfortable with the network restrictions that some other commenters mentioned. Thanks for sharing your real experience with it!

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As someone who just turned 65 and is navigating Medicare for the first time, this thread has been incredibly helpful! I was actually looking at the same Humana Give Back plan and had the exact same concern about taxes. It's reassuring to hear from so many people who've been through this that the premium assistance doesn't count as taxable income. The employer-paid health insurance analogy really clicked for me - it's just a different way of handling the payment, not extra money in your pocket. I'm still trying to decide between this and traditional Medicare with a supplement plan, but at least now I know the tax implications aren't something I need to worry about. Thanks to everyone for sharing their experiences!

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Welcome to Medicare! It can definitely feel overwhelming at first with all the different options. One thing I'd suggest is to really look closely at the provider networks if you're considering the Humana Give Back plan. While the premium assistance is great (and as everyone confirmed, not taxable), make sure your current doctors are in-network and that any specialists you might need are covered. I went with traditional Medicare plus a Medigap plan because I wanted the flexibility to see any doctor who accepts Medicare, but everyone's situation is different. The give-back plans can be a really good deal if the network works for your needs!

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I'm dealing with something similar but with an AARP Medicare Advantage plan that covers my Part B premium. Like others have said, it's definitely not taxable income - it's just premium assistance. What I found really helpful was calling Medicare directly (not SSA) at 1-800-MEDICARE to understand how these give-back benefits work. They explained that the insurance company essentially pays your premium for you, so you're not receiving any additional money that would be taxable. Your Social Security benefit amount stays exactly the same, you just don't have the Medicare premium deducted anymore. The key is understanding that this is a plan benefit (like having lower copays), not additional income. Hope this helps put your mind at ease!

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That's a great tip about calling Medicare directly instead of SSA! I never thought to try that route. It makes sense that they would have better information about how the Medicare Advantage plans work since they oversee the whole system. I've been so frustrated trying to get clear answers from SSA about my Medicare questions - their wait times are terrible and the agents don't always seem to know the details about these newer plan features. I'll definitely try calling 1-800-MEDICARE next time I have questions about my coverage. Thanks for sharing that resource!

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I just went through this exact same situation with my Humana Give Back plan! I was so worried about the tax implications because I'm also right at that threshold where more of my Social Security becomes taxable. After doing a lot of research and talking to multiple people, I can confirm what others have said - the Part B premium assistance is NOT taxable income. What really helped me understand it was realizing that you're not actually receiving any extra money. Your Social Security benefit amount is exactly the same as it would be otherwise. The only difference is that instead of having $185 deducted from your monthly check for Medicare Part B, Humana pays that premium directly to Medicare on your behalf. It's essentially the same as if your employer paid for your health insurance - the premium coverage isn't considered income to you. When I got my SSA-1099 form this year, it showed the same gross benefit amount as always. The give-back benefit never appears anywhere as additional income because it's not income - it's just premium assistance. I hope this helps ease your concerns!

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Thank you for sharing your experience! As someone who's new to all this Medicare stuff, it's really reassuring to hear from people who've actually been through it. I was getting so confused by all the different information out there, but the way you explained it - that you're not getting extra money, just having the premium paid for you - makes it crystal clear. The employer health insurance comparison really helps too. I'm still learning about all these Medicare options since I just became eligible, but knowing that the tax situation isn't something to worry about definitely makes these give-back plans more appealing to consider.

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I'm a Medicare specialist and wanted to add some additional context that might be helpful. The confusion your tax advisor had is actually pretty common because these "give-back" or premium reduction benefits are still relatively new and not all tax professionals are familiar with them yet. From a technical standpoint, what happens is that CMS (Centers for Medicare & Medicaid Services) allows Medicare Advantage plans to use a portion of their monthly capitation payments to cover members' Part B premiums. This is reported to SSA as a premium reduction, not as income to you. The important thing to understand is that your Modified Adjusted Gross Income (MAGI) - which determines how much of your Social Security is taxable - remains completely unchanged by this arrangement. You might want to share this information with your tax advisor so they can better understand how these plans work for future clients. One last tip: keep your Medicare plan documentation that shows the Part B premium coverage - it can be helpful if you ever need to explain this arrangement to a new tax preparer.

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This is incredibly helpful information! As someone who just started dealing with Medicare, I had no idea about the technical details of how these give-back benefits actually work behind the scenes. The explanation about CMS allowing plans to use their capitation payments for premium coverage really helps me understand why this isn't considered income - it's essentially just a different allocation of funds that Medicare is already paying to the insurance company. I'll definitely save your advice about keeping the Medicare plan documentation too. It sounds like having that paperwork could save a lot of headaches if I ever need to switch tax preparers or if there are questions down the road. Thanks for sharing your professional expertise!

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I'm a new Medicare beneficiary and this thread has been so educational! I was actually considering the same type of give-back plan but was hesitant because I wasn't sure about the tax implications. Reading everyone's experiences and especially the professional explanations really helps clarify that this is just premium assistance, not additional taxable income. What I found particularly helpful was the analogy to employer-paid health insurance - that really made it click for me. It's just a different way of handling who pays the premium, not extra money coming into your pocket. I'm still weighing my Medicare options, but at least now I know the tax considerations aren't something I need to worry about with these plans. Thanks to everyone who shared their real-world experiences - it's so much more valuable than trying to decipher official government websites or getting conflicting information from different sources!

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I'm so glad this discussion helped clarify things for you! When I first became eligible for Medicare last year, I felt completely overwhelmed by all the different plan options and their implications. The give-back plans definitely seem appealing, especially when you're trying to manage healthcare costs on a fixed income. What really sealed the deal for me was understanding that it's essentially just changing who writes the check to Medicare - instead of it coming out of my Social Security, the insurance company pays it directly. Your taxable situation stays exactly the same. Just make sure to also research the provider networks and coverage limitations that some folks mentioned earlier, since those can vary quite a bit between different Medicare Advantage plans. Good luck with your decision!

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I'm new to this community and just want to say thank you all for this incredibly detailed discussion! I'm 64 and will be eligible for Medicare next year, so I'm trying to learn as much as I can about the different options. The give-back plans sound really attractive, but I was definitely concerned about potential tax implications since I'm still working part-time and need to be careful about my income levels. Reading through all these real experiences and especially the professional explanations has been so helpful. The key point that really made it clear for me is that you're not actually receiving additional money - the insurance company is just paying your Medicare premium for you, similar to how an employer might pay for health insurance. Your actual Social Security benefit and taxable income stay exactly the same. I'll definitely be looking into these plans more seriously now, though I'll also research the network restrictions that several people mentioned. It's great to have a community where people share their real-world experiences with these complex Medicare decisions!

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Welcome to the community! It's great that you're researching these options ahead of time - I wish I had been as prepared when I first became eligible for Medicare. The give-back plans really can be a good deal, especially if you're managing income levels carefully like you mentioned. One thing I'd add is that since you're still working part-time, you might want to check with your current employer about any health insurance options that could work alongside Medicare. Some people find that employer coverage plus Medicare Part A works better than Medicare Advantage, depending on their situation. But you're absolutely right that the tax implications of the give-back benefits aren't something to worry about - everyone here has confirmed it's just premium assistance, not additional income. Good luck with your planning!

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As someone who works in Medicare enrollment, I can confirm what everyone has said here - the Part B premium assistance from give-back plans like your Humana plan is absolutely NOT taxable income. This is one of the most common misconceptions I encounter with new Medicare beneficiaries. The way it works is simple: instead of SSA deducting $185 from your monthly check and you paying nothing extra, Humana pays that $185 directly to Medicare on your behalf. Your gross Social Security benefit remains identical, your net amount received is the same, and most importantly - your taxable income doesn't change at all. Your SSA-1099 will show the exact same figures as if you were paying the premium yourself. The IRS sees no difference in your tax situation. It's frustrating that SSA phone agents don't always understand these newer Medicare Advantage features, but the tax treatment is very clear - premium assistance is not income. Your tax advisor was likely thinking of a different scenario where you might receive cash rebates, which would be taxable. But premium reductions like yours are treated the same as any other insurance benefit - not taxable income.

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Thank you so much for this professional confirmation! It's really reassuring to hear from someone who works directly with Medicare enrollment and sees these questions regularly. I was getting increasingly frustrated with the conflicting information I was receiving, especially from SSA phone agents who seemed unsure about how these newer Medicare Advantage features work. Your explanation about the difference between premium assistance (not taxable) versus cash rebates (taxable) really helps clarify why my tax advisor might have been confused - they probably thought I was receiving some kind of cash payment rather than just having the premium covered. I feel much more confident now about keeping my Humana Give Back plan knowing that my tax situation remains exactly the same. Thanks again for taking the time to share your expertise!

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I'm so glad you found this community thread! As someone who went through the exact same confusion when I first got my Medicare Advantage give-back plan, I can definitely relate to your frustration with trying to get clear answers from SSA. What really helped me understand it was thinking about it this way: your Social Security benefit amount is set by law based on your work history - that number doesn't change regardless of what insurance plan you choose. The Part B premium is normally deducted from that benefit, but with a give-back plan, the insurance company just pays Medicare directly so there's no deduction needed. You're not getting any extra money, you're just avoiding a deduction. I was also worried about tax implications since I'm close to the income thresholds, but after going through tax season with my give-back plan, I can confirm that nothing changed on my tax forms. The SSA-1099 showed the same gross benefit as always, and my taxable income calculations were identical to previous years. It sounds like your tax advisor just misunderstood how these plans work - probably thinking you were getting cash payments rather than premium assistance. Definitely worth clarifying with them using the great explanations others have provided here!

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This is such a helpful way to think about it! I'm also new to Medicare and was getting overwhelmed by all the different plan options and their implications. Your explanation about the Social Security benefit amount being set by law really clarifies things - it makes sense that choosing different insurance options wouldn't change that fundamental calculation. I've been worried about making the "wrong" choice with Medicare plans, but understanding that the give-back benefit is just avoiding a deduction rather than getting extra money really puts my mind at ease about the tax side of things. It's so valuable to hear from people who have actually been through this process and can share what their real experience was like, especially with tax season. Thanks for sharing your perspective!

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I'm a Medicare beneficiary who switched to a give-back plan two years ago and can confirm what everyone else has said - it's definitely NOT taxable income! I was initially worried about the same thing because I'm also right at the income threshold where tax implications matter. What helped me understand it was getting a clear explanation from my Medicare plan: they're essentially acting like an employer who pays for your health insurance. Just like employer-paid premiums aren't considered taxable income to you, the Part B premium assistance from your Humana Give Back plan isn't taxable either. I've gone through two tax seasons now with my give-back plan, and my SSA-1099 forms showed exactly the same gross benefit amounts as before - the premium assistance never appears anywhere as additional income because it's not income, it's just a plan benefit. Your Modified Adjusted Gross Income (MAGI) stays exactly the same, so you don't need to worry about it affecting your Social Security taxation thresholds. It's really frustrating that SSA phone agents aren't always knowledgeable about these newer Medicare Advantage features, but the tax treatment is very clear. You might want to share some of the great explanations from this thread with your tax advisor to help them better understand how these plans work!

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