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Medicare Premiums and co-payments for 2013


Medicare Premiums for 2013:

Part A: (Hospital Insurance) Premium

If you buy Part A, you'll pay up to $441 each month in 2013. But, most people get premium-free Part A. You can get premium-free Part A at 65 if:
  • You already get retirement benefits from Social Security or the Railroad Retirement Board.
  • You're eligible to get Social Security or Railroad benefits but haven't filed for them yet.
  • You or your spouse had Medicare-covered government employment.

If you're under 65, you can get premium-free Part A if:

  • You got Social Security or Railroad Retirement Board disability benefits for 24 months.
  • You have End-Stage Renal Disease (ESRD) and meet certain requirements.

In most cases, if you choose to buy Part A, you must also have Medicare Part B (Medical Insurance) and pay monthly premiums for both.

Some people automatically get Medicare Part A (Hospital Insurance). Learn how and when you can sign up for Part A.

Contact Social Security for more information about the Part A premium.

Find out what Part A covers.

Find out what you pay for Part A covered services.

 

Part B: (Medical Insurance) Premium

Most people pay the Part B premium of $104.90 each month in 2013.
You pay $147 per year for your Part B deductible in 2013.

Some people automatically get Part B. Learn how and when you can sign up for Part B.

If you don't sign up for Part B when you're first eligible, you may have to pay a late enrollment penalty.

If your modified adjusted gross income as reported on your IRS tax return from 2 years ago (the most recent tax return information provided to Social Security by the IRS) is above a certain amount, you may pay more.

Social Security will contact some people who have to pay more depending on their income. The amount you pay can change each year depending on your income. If you have to pay a higher amount for your Part B premium and you disagree (for example, if your income goes down), use this form to contact Social Security.

Part B premiums by income

If your yearly income in 2011 was You pay (in 2013)
File individual tax return File joint tax return
$85,000 or less $170,000 or less $104.90
above $85,000 up to $107,000 above $170,000 up to $214,000 $146.90
above $107,000 up to $160,000 above $214,000 up to $320,000 $209.80
above $160,000 up to $214,000 above $320,000 up to $428,000 $272.70
above $214,000 above $428,000 $335.70

Find out what Part B covers.

Find out what you pay for Part B covered services.

 

Medicare Deductible and Coinsurance Amounts for 2013:

Part A: (pays for inpatient hospital, skilled nursing facility, and some home health care) For each benefit period Medicare pays all covered costs except the Medicare Part A deductible (2013 = $1,184) during the first 60 days and coinsurance amounts for hospital stays that last beyond 60 days and no more than 150 days.

For each benefit period you pay:

  • A total of $1,184 for a hospital stay of 1-60 days.
  • $296 per day for days 61-90 of a hospital stay.
  • $592 per day for days 91-150 of a hospital stay (Lifetime Reserve Days).
  • All costs for each day beyond 150 days

Skilled Nursing Facility Coinsurance

  • $144.50 per day for days 21 through 100 each benefit period.

     

Part B: (covers Medicare eligible physician services, outpatient hospital services, certain home health services, durable medical equipment)

  • $147.00 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the $147.00 deductible.)

Datasheet summary

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