2019 Medicare Costs at a Glance Parts A & B

CB0018-18

October 19, 2018

Part A Premium Most people do not pay a monthly premium for Part A (sometimes called “premium-free Part A”.  If you buy Part A, you will pay up to $437 each month.  If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $437.  If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $240.
Part A Hospital Inpatient Deductible and Coinsurance
  • $1,364 deductible for each benefit period
  • Days 1-60: $0 coinsurance for each benefit period
  • Days 61-90: $341 coinsurance per day of each benefit period
  • Days 91 and beyond: $682 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime)
  • Beyond lifetime reserve days: All costs
  • Inpatient mental health care in a psychiatric hospital limited to 190 days in a lifetime

 

Skilled Nursing Facility Care
  • 0 for the first 20 days of each benefit period
  • $170.50 per day for days 21-100 of each benefit period
  • All costs for each day after day 100 in a benefit period
Home Health Care Services
  • $0 for home health care services
  • 20% of the Medicare-approved amount for durable medical equipment
Part B Premium
  • Standard premium: $135.50  (or higher depending on your income)
  • An estimated 2 million Medicare beneficiaries (about 3.5%) will pay less than the full Part B standard monthly premium amount in 2019 due to the statutory hold harmless provision, which limits certain beneficiaries’ increase in their Part B premium to be no greater than the increase in their Social Security benefits.
Part B Deductibles and Coinsurance
  • $185 yearly deductible
  • 20% coinsurance for most covered services, like doctor’s services and some preventive services, if provider accepts assignment
  • $0 for most preventive services
  • 20% coinsurance for outpatient mental health services, copayments for hospital outpatient services and durable medical equipment (DME)

 

As always, we thank you for your support and cooperation. For questions or comments, please email us at Compliance@NSGACommunications.com or you may call the toll-free number listed below.

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