Medicare 2021 Deductibles & Coinsurance Cost at a Glance
THIS IS WHY FOLKS GET A MEDICARE SUPPLEMENT POLICY
Medicare Part A Pays For Covered Hospital, Skilled-Nursing Facility, And Some Home Health-Care Services For Each Benefit Period EXCEPT For The Following Deductible And Coinsurance Costs.
2021 Medicare Part A Deductible
For 2021, the Medicare Part A deductible is $1484.00 for EACH 60 day benefit period.
A common misconception is that this is a one time or an annual deductible. It is NOT.
The Part A deductible is based on benefit periods of 60 days.
A benefit period begins the day a beneficiary is admitted as a hospital inpatient and ends when the beneficiary hasn’t received Part A care for 60 consecutive days. This includes hospital inpatient and Skilled Nursing Facility (SNF) care.
If you are readmitted to the hospital after a 60 day period you must pay this $1408.00 deductible again.
Two Main Parts Of 2021 Part A Coinsurance
Part A Hospital Coinsurance
You pay this coinsurance in addition to the Part A Deductible.
The 2021 hospital coinsurance you pay per benefit period varies based on the length of your hospital stay.
– 1 through 60 days: $0 coinsurance
– 61 through 90 days: $371 PER DAY coinsurance
– 91 through 150: $742 PER DAY coinsurance
– Beyond 60 lifetime reserve days: 100% of ALL costs
Part A Skilled Nursing Facility Coinsurance
The 2019 skilled-nursing facility coinsurance you pay per benefit period also varies based on the length of your stay:
– 1 through 20 days: $0 coinsurance
– 20 through 100 days: $185.50 PER DAY coinsurance
– 101 days and beyond: You are responsible for 100% of all costs.
A Physician must certify that you need daily skilled nursing care such as intravenous injections or physical therapy.
You have to have been in the hospital for 3 days.
You must check into the skilled nursing facility within 30 days of discharge from a hospital.
You must be admitted to the skilled nursing facility for the same reason that you were in the hospital.
The skilled nursing facility must be a Medicare-approved facility.
Medicare Part B Deductible And Coinsurance
– Part B deductible of $203 per year in 2021
– Part B Coinsurance of 20%
– Part B Excess Fees of up to 15% of Medicare approve charges
– 20% of physician services while hospital inpatient
– 20% of outpatient care, tests, and supplies
– First 3 pints of blood and 20% of Medicare-approved amount of additional pints
– 20% of the Medicare-approved amount of durable medical equipment
Depending on the Plan that you choose, a Medicare Supplement (Medigap) Plan will eliminate some or all of the Part A & Part B deductibles, coinsurances, excess fees and any other cost not covered by Medicare Part A or Part B.
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