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 
.
.Source: MM9410
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