Medicare Part A is hospital insurance. It helps pay for inpatient hospital care, skilled nursing facility care, hospice care, ambulance services, and some home health care. If you are eligible you do not need to pay for Part A. Deductibles and per diem charges for Part A are increasing for 2011. The new (2012) annual deductible for Part A is now $1,156 for a hospital stay of 1 - 60 days. Your costs for extended hospital stays are $289 per day for days 61 - 90, $578 per day for days 91 thru 150, and 100% of the cost for days 150 or more. Skilled Nursing facility care is $0 per day for the first 20 days, and $144.50 per day for days 21 - 100.
Medicare Part A - 2012 Cost Changes
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Medicare Part A - Hospital Insurance Hospitalization (Per Benefit Period) |
Effective January 1, 2010 Medicare Paid All Except Amount Indicated |
Effective January 1, 2011, Medicare Will Pay All Except Amount Indicated |
Effective January 1, 2012, Medicare Will Pay All Except Amount Indicated |
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1 to 60 days |
$1,100 the Part A deductible |
$1,132, the Part A deductible |
$1,156, the Part A deductible |
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61st to 90th day |
$275 per day |
$283 per day |
$289 per day |
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91st to 150th day |
$550 per day |
$566 per day |
$578 per day |
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Skilled Nursing Facility |
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21st to 100th day |
$137.50 per day |
$141.50 per day |
$144.50 per day |
Medicare Part B is medical insurance. It helps pay for doctors' services, outpatient hospital care, and some other medical services that Part A doesn't cover, like durable medical equipment and supplies. You must be enrolled in Part A to be eligible for Part B. The new (2012) annual deductible for Part B is $140. Most people elect to enroll in Part B as soon as they become eligible. If you elect not to enroll, be advised that the cost of getting Part B will go up 10% for each full year that you could have had it, but did not enroll. Exceptions are staying in your employers group health plan, a Railroad Retirement plan, or a government employee retirement plan.
The new (2012) monthly standard premium for Part B has been reduced to $99.90 per month per person for individuals earning less than $85,000 per year or less, and for couples earning less than $170,000 filing jointly. CMS sets higher Medicare Part B premiums based upon income and filing status. Higher monthly premiums range from $46.10 to $253.70 depending upon your income. You will pay 20% of the Medicare-approved amount for medical services, and 50% of the Medicare-approved amount for mental health services after meeting the 2012 $140 the annual deductible.
201 Sand Creek Road, Suite C-2
Brentwood, CA 94513
(925) 513-7778
(925) 513-7779
Brian J. Schroeder - LUTCF