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2016 Cost-Sharing for Medicare Beneficiaries

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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

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: Total monthly Part B premium amount
2016
Less than or equal to $85,000 Less than or equal to $170,000 Less than or equal to $85,000 $121.80
Greater than $85,000 and less than or equal to $107,000 Greater than $170,000 and less than or equal to $214,000   $170.50
Greater than $107,000 and less than or equal to $160,000 Greater than $214,000 and less than or equal to $320,000   $243.60
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 $316.70
Greater than $214,000 Greater than $428,000 Greater than $129,000 $389.80
 

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