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2013 Medicare Cost-Sharing

December 27, 2012

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Hospital Deductible: $1,184 per spell of illness

Hospital Coinsurance:

  • Days 0-60: $0
  • Days 61-90: $296 / day
  • Days 91-150: $592 / day

Skilled Nursing Facility Coinsurance

  • Days 0-20: $0
  • Days 21-100: $148 / day

Part A Premium (for voluntary enrollees only)

  • With 30-39 quarters of Social Security coverage: $243 / month (no change)
  • With 29 or fewer quarters of Social Security coverage: $441 / month

Part B

  • Deductible: $147 / year
  • Standard Premium: $104.90 / month

Part B Income-Related Premium

Beneficiaries who file an individual tax return with income: Beneficiaries who file a joint tax return with income: Beneficiaries who are married, but file a separate tax return with income: Income-related monthly adjustment amount Total monthly Part B premium amount
Less than or equal to $85,000 Less than or equal to $170,000 Less than or equal to $85,000 $0.00 $104.90
Greater than $85,000 and less than or equal to $107,000 Greater than $170,000 and less than or equal to $214,000   $42.00 $146.90
Greater than $107,000 and less than or equal to $160,000 Greater than $214,000 and less than or equal to $320,000   $104.90 $209.80
Greater than $160,000 and less than or equal to $214,000 Greater than $320,000 and less than or equal to $428,000 Greater than $85,000 and less than or equal to $129,000 $167.80 $272.70
Greater than $214,000 Greater than $428,000 Greater than $129,000 $230.80 $335.70

Part D Income-Related Premium Adjustment

Enrollees in Medicare Part D prescription drug plans pay premiums that vary from plan to plan.  Since 2011, Part D enrollees whose incomes exceed the same thresholds that apply to higher income Part B enrollees must also pay a monthly adjustment amount. The regular plan premium will be paid to their Part D plan, and the income-related adjustment will be paid to Medicare.  The base beneficiary premium for 2013 is $31.17.

Beneficiaries who file an individual tax return with income: Beneficiaries who file a joint tax return with income: Beneficiaries who are married, but file a separate tax return with income: Part D Income-related monthly adjustment amount
Less than or equal to $85,000 Less than or equal to $170,000 Less than or equal to $85,000 $0
Greater than $85,000 and less than or equal to $107,000 Greater than $170,000 and less than or equal to $214,000   $11.60
Greater than $107,000 and less than or equal to $160,000 Greater than $214,000 and less than or equal to $320,000   $29.90
Greater than $160,000 and less than or equal to $214,000 Greater than $320,000 and less than or equal to $428,000 Greater than $85,000 and less than or equal to $129,000 $48.30
Greater than $214,000 Greater than $428,000 Greater than $129,000 $66.60

Filed Under: Article Tagged With: Medicare Basics, Medicare Summary, Weekly Alert

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