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Wednesday, November 17, 2010

2011 Medicare Premiums and Deductibles


Overview
The Centers for Medicare and Medicaid Services (CMS) has set the Medicare premiums, deductibles and coinsurance amounts to be paid by Medicare beneficiaries in 2011.    


Medicare Part A deductible and coinsurance
For Medicare Part A, which pays for inpatient hospital, skilled nursing facility, and some home health care, the deductible paid by the beneficiary when admitted as a hospital inpatient will be $1,132 in 2011, an increase of $32 from this year's $1,100 deductible.

The Part A deductible is the beneficiary's cost for up to 60 days of Medicare-covered inpatient hospital care in a benefit period.
·   Beneficiaries must pay an additional $283 per day for days 61 through 90 in 2011, and
·   $566 per day for hospital stays beyond the 90th day in a benefit period.

For 2010, the per-day payment for days 61 through 90 was $275, and $550 for beyond 90 days.

For beneficiaries in skilled nursing facilities, the daily co-insurance for days 21 through 100 in a benefit period will be $141.50 in 2011, compared to $137.50 in 2010.

Those who enroll in Medicare Advantage plans may have different cost-sharing arrangements. All of these Part A program payment changes are determined in accordance with a statutory formula.



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