Thursday, November 8, 2018

CMS Updates Medicare Deductible, Coinsurance and Premium Rates for 2019

Dan Ciolek

On November 1, the Centers for Medicare and Medicaid Services (CMS) posted a MLN Matters article discussing the annual update to beneficiary Medicare deductibles, coinsurance, and premium rates for calendar year 2019. 

2019 PART A - HOSPITAL INSURANCE (HI)
  • Part A Deductible: $1,364.00
  • Part A Coinsurance
    • $341.00 a day for 61st-90th day
    • $682.00 a day for 91st-150th day (lifetime reserve days)
    • $170.50 a day for 21st-100th day (SNF) coinsurance
  • Base Premium (BP): $437.00 a month
  • BP with 10% surcharge: $480.70 a month
  • BP with 45% reduction: $240.00 a month (for those who have 30-39 quarters of coverage)
  • BP with 45% reduction and 10% surcharge: $264.00 a month

2019 PART B - SUPPLEMENTARY MEDICAL INSURANCE (SMI)
  • Standard Premium: $135.50 a month
  • Deductible: $185.00 a year
  • Pro Rata Data Amount:
    • $133.57 1st month
    • $51.43 2nd month
  • Coinsurance: 20 percent

Note that the Part B premium may vary based on beneficiary income above certain levels. CMs transmittal CR11025 has additional information showing Part B premium rates as adjusted for income.
 

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