2010 ORIGINAL MEDICARE
Premiums, Deductibles, and Co-Insurance
PREMIUMS
Medicare Part A Premium (Hospital Insurance):
- Most people do not pay a monthly Part A premium because either they or their spouse have 40 or more quarters (10 years) of Medicare-covered employment. For these persons, Medicare Part A is premium-free.
- For people who have only 30-39 quarters (7½ to less than 10 years) of Medicare-covered employment, the Part A premium for 2010 is $254 per month.
- For people who have less than 30 quarters of Medicare-covered employment, the Part A premium for 2010 is $461 per month.
Medicare Part B Premium (Medical Insurance):
- The Medicaid Part B monthly premium is now based on a beneficiary’s annual income.
Although Medicare has increased its Part B premium for 2010 to reflect increased costs, there was no cost-of-living adjustment (COLA) applied to 2010 Social Security benefits. Federal law prohibits a decrease in Social Security benefits due to an increase in the Part B premium.
Therefore, persons with individual annual income at or below $85,000 or with joint annual income at or below $170,000 who have their Part B premium deducted automatically from their Social Security benefits will see no increase in their 2010 Part B premium. It will remain $96.40 per month.
Approximately 27 percent of Medicare beneficiaries will pay a higher Part B premium in 2010. These beneficiaries are persons who do not have their Part B premium automatically deducted from their Social Security benefits, have higher income, are new to Medicare in 2010, or have their Medicare Part B premium paid by Medicaid. Their Part B premium will be based on their income as follows:
| Individual Tax Return: |
$85,000 or below =
$110.50 |
| Joint Tax Return: |
$170,000 or below =
$110.50 |
| |
|
| Individual Tax Return: |
$85,001-$107,000 =
$154.70 |
| Joint Tax Return: |
$170,001-$214,000 =
$154.70 |
| |
|
| Individual Tax Return: |
$107,001-$160,000 =
$221.00 |
| Joint Tax Return: |
$214,001-$320,000 =
$221.00 |
| |
|
| Individual Tax Return: |
$160,001-$214,000 =
$287.30 |
| Joint Tax Return: |
$320,001-$428,000 =
$287.30 |
| |
|
| Individual Tax Return: |
Above $214,000 =
$353.60 |
| Joint Tax Return: |
Above $428,000 =
$353.60 |
Medicare Deductibles and Coinsurance:
Part A In-Hospital Stay for Each Benefit Period:
- Beneficiary pays Part A Deductible of $1,100 for each benefit period.
- Beneficiary pays $275 per day for days 61-90 of a hospital stay.
- Beneficiary pays $550 per day for days 91-150 of a hospital stay (Lifetime Reserve Days).
- Beneficiary pays all costs for each day beyond 150 days.
Part A Skilled Nursing Facility Stay for Each Benefit Period:
- Beneficiary pays nothing for first 20 days.
- Beneficiary pays $137.50 per day for days 21-100.
Part B:
- Beneficiary pays annual deductible for 2010 of $155.
- Beneficiary pays 20% of the Medicare-approved amount after the annual deductible is paid (if the Medicare provider accepts “assignment”).
- Beneficiary pays 20% for all outpatient physical, occupational, and speech-language therapy services.
- Beneficiary pays 50% for most outpatient mental health care.
- Beneficiary pays nothing for Medicare-approved home health care and clinical laboratory service
Note: There are additional Medicare services that may have cost sharing. For more information, visit the Medicare Web site or call 1-800-MEDICARE (1-800-633-4227).
This information last reviewed 3/21/10. |
