Most senior citizens will see a much smaller increase in their monthly Medicare premiums that cover physician and outpatient care next year. The monthly premium will rise to $93.50, costing only $5 a month more, less than the expected double digit increase that was proposed.

But for 1.5 seniors who are wealthier, they will see a huge increase in the monthly premiums.

If you earn more than $80,000 a year, expect to pay $106 a month. The premiums will ratchet up all the way to $162 a month if you earn over $200,000.

The higher premiums will be based on the income you declared in the 2005 tax year and will be adjusted for inflation.

These premiums could change however. They are predicated on a cut of 5% in physician reimbursement. Congress has reversed proposed physician cuts in the past. If they do it again the premium will require $1.50 more a month from seniors.