This week the Centers for Medicare & Medicaid Services released the Medicare premium, deductible and co-pay amounts for 2016. As the Center for Medicare Advocacy has extensively reported, the Part B Premium, which was feared to spike outrageously for many beneficiaries, will instead remain the same for most, and increase far less for the rest. Below are the 2016 cost-sharing amounts.
Part A Premium (For those not automatically enrolled)
- 0-29 qualifying quarters of employment: $411.00
- 30-39 quarters: $226.00
Inpatient Hospital
- Deductible, Per Spell of Illness: $1,288.00
- Co-pay, Days 1 – 60: $0
- Co-pay, Days 61 – 90: $322.00/day
- Co-pay, Lifetime Reserve Days: $644.00/day
Skilled Nursing Facility
- Co-pay, Days 1 – 20: $0
- Co-pay, Days 21 – 100: $161.00
Standard Monthly Part B Premium
- $121.80 for new enrollees and those not “held harmless” (See our 10/28/2015 CMA Alert)
- $104.90 for those “held harmless”
Part B Deductible
- $166.00 for all Part B beneficiaries.
Part B Income-Related Premiums
- Income less than or equal to $85,000 ($170,000 /couple): $121.80
- Greater than $85,000 and less than $107,000 ($170,000 – $214,000/couple): $170.50
- Greater than $107,000 and less than or equal to $160,000 ($214,000 – $320,000/couple): $243.60
- Greater than $160,000 and less than or equal to $214,000 ($320,000 – $428,000/couple): $316.70
- Greater than $214,000 ($428,000/couple): $389.80