Medicare Part A, Part B, Part C, and Part D 2012 Premiums,

Deductibles and Co-insurance

The following is a listing of the Medicare premium, deductible, and coinsurance rates that will be in effect in 2012:

Medicare Premiums for 2012:

Part A: (Hospital Insurance) Premium

Most people do not pay a monthly Part A premium because they or a spouse has 40 or more quarters of Medicare-covered employment.

The Part A premium is $248.00 per month for people having 30-39 quarters of Medicare-covered employment.

The Part A premium is $451.00 per month for people who are not otherwise eligible for premium-free hospital insurance and have less than 30 quarters of Medicare-covered employment.

Part B: (Medical Insurance) Premium

$99.90

Medicare Deductible and Coinsurance Amounts for 2012:

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 (2012 = $1,156) 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 $1,156 for a hospital stay of 1-60 days.

$289 per day for days 61-90 of a hospital stay.

$578 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)

$140.00 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the $140.00 deductible.)

Click here to go to www.Medicare.gov  2012 Costs

Part C - Medical Insurance - Advantage Plans

Advantage plans are available in many areas. The deductibles and coinsurance will vary based on the plan you choose. If you have one of these plans, you do not need a Medigap policy.

• Health Maintenance Organizations (HMO)
• Preferred Provider Organizations (PPO)
• Private Fee-for Service Plans
• Medicare Special Needs Plans
• Medicare Medical Savings Accounts (MSA)

These plans may cover more services and have lower out-of-pocket costs than the Part B Original Medicare Plan. Some plans cover prescription drugs. In some plans, like HMOs, you may only be able to see certain doctors or go to certain hospitals to get covered services.

The Medicare plan that you choose affects many things like cost, benefits, doctor choice, convenience, and quality.

If you join a Medicare Advantage Plan, your Medigap policy will not work. This means it will not pay deductibles, copayments, or other cost sharing under your Medicare Health Plan. Therefore, you may want to drop you Medigap policy if you join a Medicare Advantage Plan. You can enroll or reenroll in a Medigap plan if you choose to return to a Part B Original Plan, but there are time limits.

When you join a Medicare Advantage Plan, you use the health insurance card that you get from the plan for your health care. Generally, in these plans they have extra benefits and lower copayments than in the Part B Original Medicare Plan. To join you must have Medicare Part A and B. You will still pay your regular Medicare Part B premium. You may also have to pay additional charges for the extra benefits offered by the Medicare Advantage Plan.

Part D - Prescription Drug Plans

These stand-alone plans add prescription drug coverage to the Part B Original Medicare Plan, some Medicare Cost Plans, some Medicare Private Fee-for-Service Plans and Medicare Medical Savings Account Plans. The deductibles and coinsurance will vary depending on the plan you choose.

There is extra help for people with limited income and resources. If you qualify for extra help, Medicare will pay for almost all of your prescription drug costs. You can apply for the extra help or get more information about the extra help by calling Social Security at 1-800-772-1213

To apply for Part D Prescription Drug Plans you must contact the Centers for Medicare and Medicaid. Social Security cannot enroll you in a Part D plan.www.medicare.gov

 

Part D Monthly Premium for 2012

The chart below shows your estimated prescription drug plan monthly premium based on your income. If your income is above a certain limit, you will pay an income-related monthly adjustment amount in addition to your plan premium.