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Medicare Premiums Increasing in 2013

Medicare Part B premiums will be increasing in 2013, in some cases by almost 30%. The tables below show the pertinent figures as provided by the Medicare.gov web site:

Medicare Part B Premiums
If your yearly income in 2010 was You pay (in 2012)
File individual tax return File joint tax return
$85,000 or less $170,000 or less $99.90
above $85,000 up to $107,000 above $170,000 up to $214,000 $139.90
above $107,000 up to $160,000 above $214,000 up to $320,000 $199.80
above $160,000 up to $214,000 above $320,000 up to $428,000 $259.70

 

If your yearly income in 2011 was You pay (in 2013)
File individual tax return File joint tax return
$85,000 or less $170,000 or less $104.90
above $85,000 up to $107,000 above $170,000 up to $214,000 $146.90
above $107,000 up to $160,000 above $214,000 up to $320,000 $209.80
above $160,000 up to $214,000 above $320,000 up to $428,000 $272.70
above $214,000 above $428,000 $335.70

Part B annual deductible

You pay $140 per year for your Part B deductible in 2012 ($147 in 2013).

Part B monthly premium

You pay a Medicare Part B (Medical Insurance) premium each month. Most people will pay the standard premium amount. However, if your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you may pay more.

Part B late enrollment penalty

If you don’t sign up for Part B when you’re first eligible, you may have to pay a late enrollment penalty for as long as you have Medicare. Your monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B, but didn’t sign up for it.

Medicare Part A Costs

Home health care

  • $0 for home health care services.
  • 20% of the Medicare-approved amount for durable medical equipment.

Hospice care

  • $0 for hospice care and there is no deductible.
  • Copayment of up to $5 per prescription for outpatient prescription drugs for pain and symptom management.
  • 5% of the Medicare-approved amount for inpatient respite care (short-term care given by another caregiver, so the usual caregiver can rest).
  • Your usual Part B deductible and coinsurance for your doctor’s services (if your attending doctor isn’t employed by the hospice).
  • Medicare doesn’t cover room and board when you get hospice care in your home or another facility where you live (like a nursing home).
  • If you pay out-of-pocket for an item or service your doctor ordered, but the hospice refuses to give you, you can file a claim with Medicare. If your claim is denied, you may file an appeal.

Hospital inpatient stay

You pay:

  • Days 1–60: $1,156 deductible for each benefit period in 2012 ($1,184 in 2013).
  • Days 61–90: $289 coinsurance per day of each benefit period in 2012 ($296 in 2013).
  • Days 91 and beyond: $578 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime) in 2012 ($592 in 2013).
  • Beyond lifetime reserve days: all costs.

Skilled nursing facility stay

  • $0 for the first 20 days each benefit period.
  • $144.50 per day for days 21-100 each benefit period in 2012 ($148 in 2013).
  • All costs for each day after day 100 in a benefit period.

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