Reimbursement Updates

July 19, 2021

Medicare Beneficiary Rates 2021

PART A - HOSPITAL INSURANCE (HI)

  • Deductible: $1,484
  • Coinsurance:
    • $322 a day for 61st-90th day
    • $742 a day for 91st-150th day (lifetime reserve days)
    • $185.50 a day for 21st-100th day (Skilled Nursing Facility coinsurance)
  • Base Premium (BP): $471 a month (for certain uninsured aged individuals who have less than 30 quarters of coverage and certain individuals with disabilities who have exhausted other entitlement)

PART B - SUPPLEMENTARY MEDICAL INSURANCE (SMI)

  • Standard Premium: $148.50 a month
  • Deductible: $203 a year

https://www.cms.gov/newsroom/fact-sheets/2021-medicare-parts-b-premiums-and-deductibles


December 7, 2015

Medicare Beneficiary Rates 2016

Medicare has released deductible and coinsurance rates for beneficiaries beginning January 1, 2016:

PART A - HOSPITAL INSURANCE (HI)

  • Deductible: $1,288
  • Coinsurance:
    • $322 a day for 61st-90th day
    • $644 a day for 91st-150th day (lifetime reserve days)
    • $161 a day for 21st-100th day (Skilled Nursing Facility coinsurance)
  • Base Premium (BP): $411 a month

PART B - SUPPLEMENTARY MEDICAL INSURANCE (SMI)

  • Standard Premium: $121.80 a month
  • Deductible: $166 a year
  • Coinsurance: 20 percent

Please visit the Noridian Healthcare Solutions website for more information.