2019 Medicare Amounts

  • Basic Part B premium:             $135.50 (was $134)
  • Part B deductible: $185 (was $183)
  • Part A deductible: $1,364 (was $1,340)

Part A Premium: (Most Beneficiaries Do Not Incur This Cost): $437

Part A Deductible and Coinsurance:

  • $1,364 deductible for each benefit period
  • Days 1-60: $0 coinsurance for each benefit period
  • Days 61-90: $341 coinsurance per day of each benefit period (was $335)
  • Days 91 and beyond: $682 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime) (was $670)
  • Beyond lifetime reserve days: all costs
  • Skilled nursing facility co-payment, days 21-100: $170.50 per day

Medicare costs at a glance: https://www.medicare.gov/your-medicare-costs/costs-at-a-glance/costs-at-glance.html

CMS Announcement: https://www.cms.gov/newsroom/fact-sheets/2019-medicare-parts-b-premiums-and-deductibles

 

Part B Premium:  $135.50

Part B Premium for Higher Income Beneficiaries:

If your yearly income in 2017 (for what you pay in 2019) was:

File individual tax return File joint tax return File married & separate tax return You pay each month (in 2019)
$85,000 or less $170,000 or less $85,000 or less $135.50
above $85,000 up to $107,000 above $170,000 up to $214,000 Not applicable $189.60
above $107,000 up to $133,500 above $214,000 up to $267,000 Not applicable $270.90
above $133,500 up to $160,000 above $267,000 up to $320,000 Not applicable $352.20
above $160,000 and less than $500,000 above $320,000 and less than $750,000 above $85,000 and less than $415,000 $433.40
$500,000 or above $750,000 and above $415,000 and above $460.50

 

Part B Deductible:  $185

Medicare part B costs outlined: https://www.medicare.gov/your-medicare-costs/part-b-costs/part-b-costs.html

 

Part D:

Premiums vary by plan. If your yearly income in 2017 (for what you pay in 2019) was:

File individual tax return File joint tax return File married & separate tax return You pay each month (in 2019)
$85,000 or less $170,000 or less $85,000 or less your plan premium
above $85,000 up to $107,000 above $170,000 up to $214,000 not applicable $12.40 + your plan premium
above $107,000 up to $133,500 above $214,000 up to $267,000 not applicable $31.90 + your plan premium
above $133,500 up to $160,000 above $267,000 up to $320,000 not applicable $51.40 + your plan premium
above $160,000 and less than $500,000 above $320,000 and less than $750,000 above $85,000 and less than $415,000 $70.90 + your plan premium
$500,000 or above $750,000 and above $415,000 and above $77.40 + your plan premium

Source: https://www.medicare.gov/index.php/drug-coverage-part-d/costs-for-medicare-drug-coverage/monthly-premium-for-drug-plans

 

Standard Benefits as outlined by CMS:

  • Max Deductible: $415
  • Initial Coverage Limit: $3820
  • During Donut Hole:
    • Brand Name drugs will have a 75% discount on the total cost.
    • Generic drugs will receive a 63% discount.

Source: https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/costs-in-the-coverage-gap

  • Out-of-Pocket Threshold: $5,100