MEDICARE

Paying For Senior Health Care

Medicare: Paying For Senior Health Care



Medicare Hospital Insurance

Cost

Your Medicare Hospital Premium Cost:                                    NONE for most people who qualify    

(If you or a spouse paid Medicare taxes while working, you qualify).

Most people do not pay a monthly Medicare Part A premium because they or a spouse has 40 or more quarters of Medicare-covered employment.  The Medicare Part A premium is $254.00 per month for people having 30-39 quarters of Medicare-covered employment.  The Medicare 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.

Hospitalization Costs (per hospital stay)

  1. First 60 Days:  You Pay $1,024.00 Annual Deductible

  2. Days 61 – 90:  You Pay $256 per day

  3. Lifetime Reserve Days (60 days over your lifetime): $512 per day


Skilled Nursing Facility (Nursing Home)

  1. First 20 Days: You Pay $0

  2. Days 21 – 100: You Pay $128 per day


Home Health Care (Skilled Care Approved by a Medical Doctor)

  1. First 100 visits: You Pay $0

  2. Includes:    RN, Physical, Occupational, Speech Therapist

  3. Does Not Include: Non-Medical Custodial Care from Senior Home Care Agencies     

              

Hospice Care

  1. Outpatient Prescriptions: You Pay $5.00 per Prescription

  2. Respite Caregiver to relieve the usual Caregiver: You pay 5%


Medicare Medical Insurance Cost

Standard Monthly Premium:    

  1.     $96.40       

Beneficiaries who currently have the Social Security Administration (SSA) withhold their Part B premium and have incomes of $85,000 or less (or have $170,000 income or less for joint filers) will not have an increase in their Part B premium for 2010.  They will continue to pay the same $96.40 Part B Premium amount in 2010.

  1.    $110.50     

New Beneficiaries and current beneficiaries who do not currently have the Part B premium withheld from their Social Security benefit will pay $110.50. 

  1.     Co-payment:    20% for Medicare approved costs

      Approved Costs Include:

      Physician’s Visits

      Some Diagnostic Tests

      Ambulance Services

      Outpatient Surgery

      Diagnostic Procedures

      Durable Medical Equipment (Wheel Chairs, Hospital beds, etc.)

Note:     $0 Cost For Part-time Skilled Home Health Care of a Homebound Patient  (Registered Nurse, Physical Therapist, Occupational Therapist, Speech Therapist). 
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Medicare and Paying For Senior Health Care

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