Medicare Costs Breakdown
Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A"). If you buy Part A, you'll pay up to $458 each month. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $458. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $252. Part A Hospital Inpatient Deductible and Coinsurance.
- $1,408 deductible for each benefit period
- Days 1-60: $0 coinsurance for each benefit period
- Days 61-90: $352 coinsurance per day of each benefit period
- Days 91 and beyond: $704 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)
- Beyond lifetime reserve days: all costs
Part B Premium
The standard Part B premium amount is $144.60 (or higher depending on your income).
Part B Deductible and Coinsurance
$198 per year. After your deductible is met, you typically pay 20% of the amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and durable medical equipment.
What is a Benefit Period?
The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services. A benefit period begins the day you're admitted as an inpatient in a hospital or SNF. The benefit period ends when you haven't gotten any inpatient hospital care (or skilled care in a SNF) for 60 days in a row.
- Part A Deductible = $1,408 (per benefit period)
- Part B Premium = $144.60 (or higher depending on income)
- Part B Deductible and Coinsurance = $198 (per year) and 20% of Medicare accepted charges
Quick Reference: Late Enrollment Penalties
- Medicare Part B – 10% per 12 months after initial enrollment window is missed.
- Medicare Part D / PDP Plans – 1% per month after initial enrollment window is missed.
Medicare Supplement Enrollment Without Underwriting / Initial Enrollment
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The Senior Health Shop specializes in Medicare Supplements and other health insurance solutions for America’s Seniors. We value the generations that helped build our great country, and we make our living helping America’s Seniors understand Medicare, what it pays, what it doesn’t, and filling those gaps.