Medicare Update 2020

The Centers for Medicare & Medicaid Services (CMS) issued the 2020 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. The 2020 deductible, coinsurance and base premium rates are:

2020 Part A – Hospital insurance

Deductible: $1,408.00

Coinsurance

• $352.00 a day for 61st-90th day

• $704.00 a day for 91st-150th day (lifetime reserve days)

• $176.00 a day for 21st-100th day (skilled nursing facility coinsurance)

2020 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: $144.60 a month

Deductible: $198.00 a year

Coinsurance: 20%

  • The Centers for Medicare & Medicaid Services has set the Part A deductible, for hospital stays, at $1,364 for 2019.
  • The coinsurance per day in the hospital for 2019 is $341 from the 61st day until the 90th day.
  • Part B deductible, for doctor and lab tests, is $185. Medicare Part B covers one flu shot per season, with no copay or deductible.
  • For Skilled Nursing Facility stays, the coinsurance is $170.50 per day for days 21 to 100.

This information is for Medicare, not an Medicare Advantage Plan.