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Medicare 2010 Update


The following is a listing of the Medicare premium, deductible, and coinsurance rates that will be in effect in 2010:

Medicare Premiums for 2010:

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 $461.00 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
$110.50 per month.* Your monthly premium will be higher if you file an individual tax return and your annual income is more than $85,000, or if you are married (file a joint tax return) and your annual income is more than $170,000.


Medicare Deductible and Coinsurance Amounts for 2010:

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 (2009 = $1068) 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 $1100 for a hospital stays of 1-60 days.
  • $275 per day for days 61-90 of a hospital stay.
  • $550 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

  • $137.50 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, after an annual deductible of a $155.00. You pay 20% of the Medicare approved amount for services after you meet the $155.00 annual deductible.

 

* The majority of beneficiaries will not see an increase in their Part B monthly premium from the 2009 amount ($96.40) thanks to the “hold harmless” provision of the Social Security Act  (42 U.S.C. §1395r(f)).  See the discussion of the hold harmless provision that is included in the following weekly alert:

Most Medicare beneficiaries will continue to pay the same $96.40 Part B premium amount in 2010. 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 for 2010.

For all others, the standard Medicare Part B monthly premium will be $110.50 in 2010, which is a 15% increase over the 2009 premium. The Medicare Part B premium is increasing in 2010 due to possible increases in Part B costs. Some people will pay a higher premium based on their modified adjusted gross income.

 

 


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BBB Reliability Program