November 5, 2010
2011 Medicare Cost
Sharing
2011 COST SHARING FOR MEDICARE BENEFICIARIES
On November 4, 2010, the Centers for Medicare and Medicaid Service (CMS) released notices detailing the Medicare Part A and Part B premiums and Deductibles for calendar year 2011.
Hospital Deductible: $1,132 per spell of illness
Hospital Coinsurance:
· Days 0-60: $0
· Days 61-90: $283 / day
· Days 91-150: $566 / day
Skilled Nursing Facility Coinsurance
· Days 0-20: $0
· Days 21-100: $141.50 / day
Part A Premium (for voluntary enrollees only)
· With 30-39 quarters of Social Security coverage: $248 / month (a reduction from 2010)
· With 29 or fewer quarters of Social Security coverage: $450 / month ( a reduction from 2010)
Part B
· Deductible: $162 / year
· Standard Premium: $115.40 / 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 |
$115.40 |
|
Greater than $85,000 and less than or equal to $107,000 |
Greater than $170,000 and less than or equal to $214,000 |
|
$46.10 |
$161.50 |
|
Greater than $107,000 and less than or equal to $160,000 |
Greater than $214,000 and less than or equal to $320,000 |
|
$115.30 |
$230.70 |
|
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 that $85,000 and less than or equal to $129,000 |
$184.50 |
$299.90 |
|
Greater than $214,000 |
Greater than $428,000 |
Greater than $129,000 |
$253.70 |
$369.10 |
* The majority of beneficiaries will not see an increase in their Part B monthly
premium from the 2010 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:
http://www.medicareadvocacy.org/PartB_09_08.27.PremiumsandCOLA.htm.
Part D Income-Related Premium Adjustment
Enrollees in Medicare Part D prescription drug plans pay premiums that vary from plan to plan. Beginning in 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 amounts by income level are below.
|
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 paid to Medicare |
|
Less than or equal to $85,000 |
Less than or equal to $170,000 |
Less than or equal to $85,000 |
$0.00 |
|
Greater than $85,000 and less than or equal to $107,000 |
Greater than $170,000 and less than or equal to $214,000 |
|
$12.00 |
|
Greater than $107,000 and less than or equal to $160,000 |
Greater than $214,000 and less than or equal to $320,000 |
|
$31.10 |
|
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 that $85,000 and less than or equal to $129,000 |
$50.10 |
|
Greater than $214,000 |
Greater than $428,000 |
Greater than $129,000 |
$69.10 |
Copyright © 2010 Center for Medicare Advocacy, Inc.