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Last Modified: 2/10/2017 Location: FL, PR, USVI Business: Part A, Part B

Update to Medicare deductible, coinsurance, and premium rates for 2016

Effective date January 1, 2016
Implementation date: January 4, 2016

Summary

The Centers for Medicare & Medicaid Services (CMS) issued the 2016 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. The 2016 deductible, coinsurance and base premium rates are:

2016 Part A - Hospital insurance

Deductible: $1,288.00
Coinsurance
$322 a day for 61st-90th day
$644 a day for 91st-150th day (lifetime reserve days)
$161 a day for 21st-100th day (skilled nursing facility coinsurance)

2016 Part B - Supplementary medical insurance (SMI)

Under Part B of the Medicare supplementary medical insurance (SMI) program, enrollees are subject to a monthly premium. Most SMI services are subject to an annual deductible and coinsurance (percent of costs that the enrollee must pay), which are set by statute.
Deductible: $166 a year
Coinsurance: 20 percent
Information on claims processing for HCV screens and other details are available in MLN MattersŪ article MM9410 external pdf file.
Source: MM9410
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.