Medicare 2011 Part A and Part B Premiums, Deductibles and Coinsurance

image_pdfimage_print

Hospital

Click here for the 2012 Medicare Part A and Part B Premiums and Deductibles.

 

 

Medicare Premiums for 2011:

Part A: (Hospital Insurance) Premium

  • Most people do not pay a monthly Part A premium because they or a spouse has 40 or more quarters of Medicare-covered employment.
  • The Part A premium is $248.00 per month for people having 30-39 quarters of Medicare-covered employment.
  • The Part A premium is $450.00 per month for people who are not otherwise eligible for premium-free hospital insurance and have less than 30 quarters of Medicare-covered employment.

Part B: (Medical Insurance) Premium

Most beneficiaries will continue to pay the same $96.40 or $110.50 premium amount in 2011.  Beneficiaries who currently have the Social Security Administration (SSA) withhold their Part B premium and have incomes of $85,000 or less (or $170,000 or less for joint filers) will not have an increase in their Part B premium in 2011.  For additional details, see the FAQ titled:

For all others, the standard Medicare Part B monthly premium will be $115.40 in 2011, which is a 4.4% increase over the 2010 premium.  The Medicare Part B premium is increasing in 2011 due to possible increases in Part B costs.  If their income is above $85,000 (single) or $170,000 (married couple), then the Medicare Part B premium may be higher than $115.40 per month.

Medicare Deductible and Coinsurance Amounts for 2011:


Part A: (pays for inpatient hospital, skilled nursing facility, and some home health care) For each benefit period Medicare pays all covered costs except the Medicare Part A deductible (2011 = $1,132) during the first 60 days and coinsurance amounts for hospital stays that last beyond 60 days and no more than 150 days.

For each benefit period you pay:

  • A total of $1,132 for a hospital stay of 1-60 days.
  • $283 per day for days 61-90 of a hospital stay.
  • $566 per day for days 91-150 of a hospital stay (Lifetime Reserve Days).
  • All costs for each day beyond 150 days

Skilled Nursing Facility Coinsurance

  • $141.50 per day for days 21 through 100 each benefit period.

Part B: (covers Medicare eligible physician services, outpatient hospital services, certain home health services, durable medical equipment)

  • $162.00 deductible for 2011. Patients pay 20% of the Medicare-approved amount for services after meetingthe the $162.00 deductible.

Check out the new services that Medicare will cover as of January 1, 2011 here.

Posted in: Medicare & Reimbursement

Leave a Comment (7) ↓

4 Comments

  1. carol s January 4, 2011

    Your statement under the Colorectal Cancer Screening heading under the bullet for Fecal-Occult blood test states “No part B deductible and copayment for Doctor’s office visit starting Jan 1, 2011.” Please explain this further. The Medicare representative I spoke with states that routine office visits are still an exclusion of the Medicare program. Only the initial preventive office visit is covered. We see our patients in the office prior to performing the screening colonoscopy as an out pt at the hospital on a different date. This visit has not been covered in the past as it is considered routine.

    Thanks for your info on this matter.

    Carol

    • Mary Pat Whaley January 5, 2011

      Hi Carol,

      I reviewed that article again and my notes and all I can figure out is that I inadvertently put that sentence in and it is wrong! Thanks so much for catching that and contacting me about it. I really appreciate it when readers keep me straight! I will take that stray sentence out.

      Best wishes,

      Mary Pat

  2. susan antonucci January 30, 2012

    when does the new deductible start – January 2012? How much is it? Thank you

    • Mary Pat Whaley February 2, 2012

      Hi Susan,

      The Medicare 2012 deductible starts January 1, 2012 and is $140.

      Best wishes,

      Mary Pat