The better off pay more for part B already:

Reader comment on: Ryan's Deal

Submitted by Lyle (United States), Oct 8, 2013 22:19

If you check the medicare web site you find that the higher the income the higher the medicare part B premiums starting from 114 up to 335 or so. What Obama has talked about is to make medicare look more like other plans with a combined deductable and an out of pocket max, but to stop medigap policies from paying the first dollar.

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