SENIOR HEALTH CARE COSTS

AND WHAT MEDICARE COVERS

About Medicare



Medicare Hospital Insurance


Costs

Your Medicare Hospital Premium Costs

  1. NONE for most people who qualify.  (If you or a spouse paid Medicare taxes while working, you qualify).

  2. 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. 

  3. The Medicare Part A premium is $254.00 per month for people having 30-39 quarters of Medicare-covered employment. 

  4. 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. Coverage Includes:     Registered Nurse, Physical, Occupational, Speech Therapist

  3. Coverage 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

  1. Standard Monthly Premium:      $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.

  2. New Beneficiaries and/or Adjusted Monthly Premium    $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. 

  3. Co-payment Cost:    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.)
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  1. Note:  $ 0 Cost to recipient for a homebound patient requiring part-time skilled nursing health care for the first 100 visits (for example, a Registered Nurse, physical therapist, speech therapist or occupational therapist).

 

Costs For Senior Care & Medicare

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As You Age

Senior Healthcare Costs and What Medicare Covers

To give you an general idea of what costs Medicare covers, AsYouAge offers this quick summary of your costs and Medicare-covered costs under the current Medicare guidelines.

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