Medicare Premiums and Deductibles for 2014

Medicare has published the premiums, deductibles and co-pays for 2015.

The part B premium (the amount that is deducted from Social Security income), or the annual Part B deductible of $147.00, will not change.  This premium is $104.90 for most seniors, but may be more for individuals with income over $85,000 per year or couples with annual income over $170,000.  Even if you are in these categories, so that your Part B premium is more than $104.90, it will not be changing in 2015.

Deductibles and co-pays for hospital and skilled nursing stays will be increasing as described below.  Your secondary insurance policy may cover all or part of the co-pay.

         Hospital Deductible: $1,260.00 / Benefit period

         Hospital Copay:

  • Days 0-60: $0
  • Days 61-90: $315 / Day
  • Days 91-150: $630/ Day  (If Medically Necessary, Medicare Part A will cover up to 90 days in the hospital for each benefit period. An additional 60 days are available during the recipient’s lifetime; these additional days are not re-         set for a new benefit period.)

       Skilled Nursing Facility Copay:

  • Days 1-20: $0
  • Days 21-100: $157/ Day

Deductibles and Co-pays for Prescription Drugs under Part D are as follows:

         Annual Deductible Maximum: $320.00

         Initial Coverage Period: Participants pay 25% of the cost of the next $2,640 in prescription medications

         Donut Hole:

  •  Once both the participant and the provider have paid $2,960.00, the Participant pays 100%
  •  The Donut hole is in effect for the next $3,720 of the cost of prescription medications

 

 

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