"CPT Copyright 2016 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.""

Medicare deductible, coinsurance, and premium rates for 2016


The Centers for Medicare & Medicaid Services (CMS) issued the 2016 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. The 2016 deductible, coinsurance and base premium rates are:

2016 PART A - HOSPITAL INSURANCE (HI)

Deductible: $1,288.00

Coinsurance:
$322.00 a day for 61st-90th day
$644.00 a day for 91st-150th day (lifetime reserve days)
$161.00 a day for 21st-100th day (Skilled Nursing Facility coinsurance)

• Base Premium (BP): $411.00 a month
• BP with 10% surcharge: $452.10 a month
• BP with 45% reduction: $226.00 a month (for those who have 30-39 quarters of coverage)
• BP with 45% reduction and 10% surcharge: $248.60 a month 

2016 PART B - SUPPLEMENTARY MEDICAL INSURANCE (SMI)

Under Part B of the Medicare supplementary medical insurance (SMI) program, enrollees are subject to a monthly premium. Most SMI services are subject to an annual deductible and coinsurance (percent of costs that the enrollee must pay), which are set by statute.

Standard Premium: $121.80 a month

Deductible: $166.00 a year

Pro Rata Data Amount
$118.86 1st month 
$47.14 2nd month

Coinsurance: 20 percent


Popular Posts