PART A (Hospital)
Inpatient Hospital Stay (benefit period ends 60 days after release from care) – You Pay…
● Deductible: $1,632 per benefit period
● Coinsurance (days 1-60): $0 per day of each benefit period
● Coinsurance (days 61-90): $408 per day of each benefit period
● Coinsurance (60 lifetime reserve days): $816 per day after day 90 of each benefit period
Skilled Nursing Facility Stay (3-day inpatient hospital stay required first) – You Pay…
● Coinsurance (days 1-20): $0 per day of each benefit period
● Coinsurance (days 21-100): $204 per day of each benefit period
PART B (Medical)
Part B Deductible – You Pay… $240 per calendar year
Part B Coverage – You Pay… Generally 20%, after $240 deductible is met
Part B Premium (including high income Part B & Part D) [paid to Medicare]
Those enrolled in Part B will pay at least the standard $174.70/mo premium (based on income).
Higher income earners will pay a Part B IRMAA (Income Related Monthly Adjustment Amount)
in addition to the $174.70/mo standard premium.
Higher income earners who are enrolled in Part D Prescription Drug coverage also pay a Part D
IRMAA in addition to the monthly insurance premium for a Part D prescription drug plan or Medicare
Advantage plan that includes Part D coverage (see table below).
