Medicare Planning & Important Medicare Related Links
- 2020 Part B Premiums
- Medicare Advantage (Part C)
- Medicare Part D ~ Prescription Drugs
- Medicare Supplement Insurance
- Official Medicare Website
- Medicare Terms Glossary
Medicare 2020
Medicare Part A | Medicare Part B | ||||
---|---|---|---|---|---|
2020 Part A is Hospital Insurance covering costs associated with confinement in a hospital or skilled nursing facility. | 2020 Part B is Medical Insurance covering physician services, outpatient care, tests and supplies. | ||||
When you are hospitalized for: | Medicare Covers | Patient Pays | On Expenses Incurred for: | Medicare Covers | Patient Pays $198 Annual Deductible PLUS |
1 – 60 Days | Most confinement costs after the required Medicare Deductible. | $1,408 Deductible | Medical Expenses Physician’s services for inpatient and outpatient medical/surgical services; physical/speech therapy, diagnostic tests | 80% of approved amount | 20% of approved amount |
61 – 90 Days | All eligible expenses after the patient pays a per-day copayment | $352 a day copayment | Clinical Laboratory Service Blood tests, urinalysis | Generally 100% of approved amount | Nothing for services |
91 – 150 Days | All eligible expenses after patient pays a per-day copayment. (Lifetime Reserve Days which may never be used again.) | $704 a day copayment | Home Health Care Part time or intermittent skilled care, home health aide services, durable medical supplies and other services | 100% of approved amount; 80% of approved amount for durable medical equipment | Nothing for services; 20% of approved amount for durable medical equipment |
151 days or more | NOTHING | Patient pays all costs. | Outpatient Hospital Treatment Hospital services for the diagnosis or treatment of an illness or injury | Medicare payment to hospital based on outpatient procedures payment rates | Coinsurance based on outpatient payment rates |
Skilled Nursing Confinement When you are hospitalized for at least 3 days and enter a Medicare approved skilled nursing facility within 30 days after hospital discharge and are receiving skilled nursing care. | All eligible expenses for the first 20 days; then all eligible expenses for days 21 – 100 after the patient pays a per day co-payment | After 20 days$176 a day copayment | Blood | After first 3 pints of blood 80% of approved amount |
First 3 pints of blood plus 20% of approved amount for additional pints |
Part B Premium * | See Below* | ||||
* Premium is per person On all Medicare-approved expenses, a doctor or other health care provider may agree to accept Medicare “assignment”. This means the patient will not be required to pay any expense in excess of Medicare’s “approved” charge. The patient pays only 20% of the approved charge not paid by Medicare. Physicians who do not accept assignment of a Medicare claim are limited as to the amount they may charge for covered services. |
*2020 Part B Premiums
Annual Income | Monthly Premium for 2015* |
---|---|
Single: up to $87,000 Couple: up to $174,000 |
$144.60 |
Single: $87,001 to $109,000 Couple: $174,001 to $218,000 |
$202.40 |
Single: $109,001 to $136,000 Couple: $218,001 to $272,000 |
$289.20 |
Single: $136,001 to $163,000 Couple: $272,001 to $326,000 |
$376.00 |
Single: $163,001 to $500,00 Couple: $326,001 to $750,000 |
$462.70 |
Single: $500,001 and above Couple: $750,001 $ and above |
$491.60 |
The Standardized Plans
Benefits | A | B | C | D | F* | G | K | L | M | N |
---|---|---|---|---|---|---|---|---|---|---|
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Part B coinsurance or copayment | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes*** |
Blood (first 3 pints) | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Part A hospice care coinsurance or copayment | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Skilled nursing facility care coinsurance | No | No | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Part A deductible | No | Yes | Yes | Yes | Yes | Yes | 50% | 75% | 50% | Yes |
Part B deductible | No | No | Yes | No | Yes | No | No | No | No | No |
Part B excess charges | No | No | No | No | Yes | Yes | No | No | No | No |
Foreign travel exchange (up to plan limits) | No | No | Yes | Yes | Yes | Yes | No | No | Yes | Yes |
Out-of-pocket limit** | N/A | N/A | N/A | N/A | N/A | N/A | $4,940 | $2,470 | N/A | N/A |
* Plan F also offers a high-deductible plan. If you choose this option, this means you must pay for Medicare-covered costs up to the deductible amount of $2,140 in 2014 ($2,180 in 2015) before your Medigap plan pays anything.** After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the Medigap plan pays 100% of covered services for the rest of the calendar year.*** Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in inpatient admission. |