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Medicare premiums and coinsurance rates for 2010
Published 10/15/2009 12:45 PM |   Updated 04/12/2010 10:21 AM

What are the Medicare premiums and coinsurance rates for 2010?
The following is a listing of the Medicare premium, deductible, and coinsurance rates that will be in effect in 2010:


Medicare Premiums for 2010:

Part A: (Hospital Insurance) Premium

       Most people do not pay a monthly Part A premium because they or a spouse has 40 or more
        quarters of Medicare-covered employment.
       The Part A premium is $254.00 per month for people having 30-39 quarters of Medicare-covered
        employment.
       The Part A premium is $461.00 per month for people who are not otherwise eligible for premium-
        free hospital insurance and have less than 30 quarters of Medicare-covered employment.

Part B: (Medical Insurance) Premium

Most beneficiaries will continue to pay the same $96.40 premium amount in 2010. Beneficiaries who
currently have the Social Security Administration (SSA) withhold their Part B premium and have incomes
of $85,000 or less (or $170,000 or less for joint filers) will not have an increase in their Part B premium in
2010. For additional details, see our FAQ titled: "Will my Medicare Part B premium increase in 2010?"

For all others, the standard Medicare Part B monthly premium will be $110.50 in 2010, which is a 15%
increase over the 2009 premium. The Medicare Part B premium is increasing in 2010 due to possible
increases in Part B costs. If your income is above $85,000 (single) or $170,000 (married couple), then
your Medicare Part B premium may be higher than $110.50 per month. For additional details, see our
FAQ titled: "2010 Part B Premium Amounts for Persons with Higher Income Levels".

Medicare Deductible and Coinsurance Amounts for 2010:

Part A: (pays for inpatient hospital, skilled nursing facility, and some home health care) For each benefit
period Medicare pays all covered costs except the Medicare Part A deductible (2010 = $1,100) during the
first 60 days and coinsurance amounts for hospital stays that last beyond 60 days and no more than 150
days.

For each benefit period you pay:

       A total of $1,100 for a hospital stay of 1-60 days.
       $275 per day for days 61-90 of a hospital stay.
       $550 per day for days 91-150 of a hospital stay (Lifetime Reserve Days).
       All costs for each day beyond 150 days

Skilled Nursing Facility Coinsurance

       $137.50 per day for days 21 through 100 each benefit period.
Part B: (covers Medicare eligible physician services, outpatient hospital services, certain home health
services, durable medical equipment)

      $155.00 per year. (Note: You pay 20% of the Medicare-approved amount for services after you
       meet the $155.00 deductible.)

Additional information about the Medicare premiums, deductibles, and coinsurance rates for 2010 is
available in the October 16, 2009 Fact Sheet titled, "CMS Announces Medicare Premiums, Deductibles for
2010" on the www.cms.gov website.

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Medicare Premiums and Coinsurance

  • 1. Medicare premiums and coinsurance rates for 2010 Published 10/15/2009 12:45 PM | Updated 04/12/2010 10:21 AM What are the Medicare premiums and coinsurance rates for 2010? The following is a listing of the Medicare premium, deductible, and coinsurance rates that will be in effect in 2010: Medicare Premiums for 2010: Part A: (Hospital Insurance) Premium  Most people do not pay a monthly Part A premium because they or a spouse has 40 or more quarters of Medicare-covered employment.  The Part A premium is $254.00 per month for people having 30-39 quarters of Medicare-covered employment.  The Part A premium is $461.00 per month for people who are not otherwise eligible for premium- free hospital insurance and have less than 30 quarters of Medicare-covered employment. Part B: (Medical Insurance) Premium Most beneficiaries will continue to pay the same $96.40 premium amount in 2010. Beneficiaries who currently have the Social Security Administration (SSA) withhold their Part B premium and have incomes of $85,000 or less (or $170,000 or less for joint filers) will not have an increase in their Part B premium in 2010. For additional details, see our FAQ titled: "Will my Medicare Part B premium increase in 2010?" For all others, the standard Medicare Part B monthly premium will be $110.50 in 2010, which is a 15% increase over the 2009 premium. The Medicare Part B premium is increasing in 2010 due to possible increases in Part B costs. If your income is above $85,000 (single) or $170,000 (married couple), then your Medicare Part B premium may be higher than $110.50 per month. For additional details, see our FAQ titled: "2010 Part B Premium Amounts for Persons with Higher Income Levels". Medicare Deductible and Coinsurance Amounts for 2010: Part A: (pays for inpatient hospital, skilled nursing facility, and some home health care) For each benefit period Medicare pays all covered costs except the Medicare Part A deductible (2010 = $1,100) during the first 60 days and coinsurance amounts for hospital stays that last beyond 60 days and no more than 150 days. For each benefit period you pay:  A total of $1,100 for a hospital stay of 1-60 days.  $275 per day for days 61-90 of a hospital stay.  $550 per day for days 91-150 of a hospital stay (Lifetime Reserve Days).  All costs for each day beyond 150 days Skilled Nursing Facility Coinsurance  $137.50 per day for days 21 through 100 each benefit period.
  • 2. Part B: (covers Medicare eligible physician services, outpatient hospital services, certain home health services, durable medical equipment)  $155.00 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the $155.00 deductible.) Additional information about the Medicare premiums, deductibles, and coinsurance rates for 2010 is available in the October 16, 2009 Fact Sheet titled, "CMS Announces Medicare Premiums, Deductibles for 2010" on the www.cms.gov website.