2019 Medicare Cost-Sharing Announced

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Last week the Centers for Medicare & Medicaid Services released the Medicare premium, deductible and co-pay amounts for 2019.  Below are the 2019 cost-sharing amounts.

Part A Premium (For those not automatically enrolled)

  • 0-29 qualifying quarters of employment: $437.00
  • 30-39 quarters: $240.00

Inpatient Hospital

  • Deductible, Per Spell of Illness: $1,364.00
  • Co-pay, Days 1 – 60: $0
  • Co-pay, Days 61 – 90: $341.00/day
  • Co-pay, Lifetime Reserve Days: $682.00/day

Skilled Nursing Facility

  • Co-pay, Days 1 – 20: $0
  • Co-pay, Days 21 – 100: $170.50

Standard Monthly Part B Premium

  • $135.50 for new enrollees and those not “held harmless”
  • While most Medicare recipients will pay the new $135.50 standard monthly premium, an estimated 2 million (3.5%) will pay less because of a “hold harmless” provision that limits certain beneficiaries’ increase in their Part B premium to be no greater than the increase in their Social Security benefits.

Part B Deductible

  • $185.00 for all Part B beneficiaries.

Part B Income-Related Premiums

  • Income less than or equal to $85,000 ($170,000 /couple): $135.50
  • Greater than $85,000 and less than $107,000 ($170,000 – $214,000/couple): $189.60
  • Greater than $107,000 and less than or equal to $133,500 ($214,000 – $267,000 /couple): $270.90
  • Greater than $133,500 and less than or equal to $160,000 ($267,000 – $320,000/couple): $352.20
  • Greater than $160,000 and less than or equal to $500,000 ($320,000 – $750,000/couple): $433.40
  • Greater than $500,000 ($750,000/couple): $460.50

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