Deductions & credits

My wife and I just have Medicare Part B this year which is new to me and we paid more than the standard $148.50 because in 2019 she took a distribution of $45K from her 401K that put our MAGI $510 above the lowest standard limit.  We didn't have to sign up for Medicare prior because I was working with a local government.  My retirement was unexpected due to a severance package offered in December 2020.   My wife and I both get SSI payments each month and had our Medicare premium payment deducted.  I got my premium reimbursed but my wife's wasn't as her old company didn't honor it.  As I am now doing a projected 2021 income to stay on the limit and also considering doing a ROTH conversion.   Is Medicare Premium payment deducted  to your AMAGI  when SSI determine how much I need to pay?  Assuming I have another $500 over the limit.  If I donate before April 15, 2022,  can the donated amount be deducted to my 2021 AGI?  Thanks