Last Modified: 9/1/2019
Location: FL, PR, USVI
Business: Part A, Part B
Effective date January 1, 2019
Implementation date: January 7, 2019
The Centers for Medicare & Medicaid Services (CMS) issued the 2019 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. The 2019 deductible, coinsurance and base premium rates are:
• $341.00 a day for 61st-90th day
• $682.00 a day for 91st-150th day (lifetime reserve days)
• $170.50 a day for 21st-100th day (skilled nursing facility coinsurance)
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.
Standard premium: $135.50 a month
Deductible: $185.00 a year
Coinsurance: 20 percent
Details are available in MLN Matters®
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