Wednesday, May 27, 2015

Update to Medicare deductible, coinsurance, and premium rates for 2015


Effective date January 1, 2015
Implementation date: January 5, 2015

SummaryThe Centers for Medicare & Medicaid Services (CMS) issued the 2015 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. The 2015 deductible, coinsurance and base premium rates are:

2015 Part A - Hospital insurance
Deductible: $1,260.00
Coinsurance
• • $315 a day for 61st-90th day
• • $630 a day for 91st-150th day (lifetime reserve days)
• • $157.50 a day for 21st-100th day (skilled nursing facility coinsurance)
Base premium (BP): $407 a month
• BP with 10 percent surcharge: $447.70 a month
• BP with 45 percent reduction: $224 a month (for those who have 30-39 quarters of coverage)
• BP with 45 percent reduction and 10 percent surcharge: $246.40 a month

2015 Part B - Supplementary medical insurance (SMI)
Under Part B of the Medicare supplementary medical insurance (SMI) program, enrollees are subject to a monthly premium. Most SMI services are subject to an annual deductible and coinsurance (percent of costs that the enrollee must pay), which are set by statute.
Standard Premium: $104.90 a month
Deductible: $147 a year
Pro Rata Data Amount
• $114.99 1st month
• $32.01 2nd month
Coinsurance: 20 percent

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