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.
