Gallery

2012 Medicare Costs

Here’s a quick review of the 2012 Medicare costs:

Medicare Monthly Premiums

  • Part A monthly premium, for those who pay a premium: $451.
  • Part A late enrollment penalty: +10%
  • Part B monthly premium: $99.90 (higher income consumers may pay more)
  • Part C monthly premium: varies by plan
  • Part D monthly premium: varies by plan (higher income consumers may pay more)
  • Part D late enrollment penalty: Depends on how long you went without creditable prescription drug coverage.

Part A Services (Hospital Insurance) & Costs

  • Blood.  In most cases, the hospital gets blood from a blood bank at no charge, and you won’t have to pay for it or replace it.  Should the hospital have to buy blood for you, you must either pay the hospital costs for the first 3 units of blood you get in a calendar year, or have the blood donated.
  • Home Health Care.  You pay $0 for home health care services. You pay 20% of the Medicare-approved amount for durable medical equipment.
  • Hospice Care.  You pay $0 for hospice care.  You pay a co-payment of up to $5 per prescription for outpatient prescription drugs for pain and symptom management.  You pay 5% of the Medicare-approved amount for inpatient respite care (short-term care given by another caregiver, so the usual caregiver can rest).  Note: Medicare does not cover room and board when you get hospice care in your own home or another facility where you live, such as a nursing home.
  • Hospital Inpatient Stay.  You pay $1,156 deductible per benefit period.  You pay $0 for the first 60 days of each benefit period.   You pay $289 per day for days 61-90 of each benefit period.  You pay $578 per ‘lifetime reserve day’ after day 90 of each benefit period (up to a maximum of 60 days over your lifetime).
  • Skilled Nursing Facility.  You pay $0 for the first 20 days each benefit period.  You pay $144.50 per day for days 21-100 each benefit period.  You pay all costs for each day after 100 in a benefit period.
  • Note: If you are in a Medicare Advantage Plan, costs vary by plan and may be either higher or lower than those noted above.  Check the coverage descriptions from your plan.

Part B Services (Medical Insurance) & Costs

  • Part B Deductible: You pay $140 per year.
  • Blood.  In most cases, the provider gets blood from a blood bank at no charge and you will not have to pay for it or replace it.  However, you will pay a co-payment for the blood processing and handling services for each unit of blood you receive, and the Part B deductible applies.  Should the provider have to buy blood for you, you must pay either the provider costs for the first 3 units of blood you receive per calendar year, or have blood donated by you or someone else.  You pay a co-payment for additional units of blood you get an outpatient (after the first 3) and the Part B deductible applies.
  • Clinical Laboratory Services.  You pay $0 for Medicare-approved services.
  • Home Health Services.  You pay $0 for Medicare-approved services.  You pay 20% of the Medicare-approved amount for durable medical equipment.
  • Medical and Other Services.  You pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you are a hospital inpatient), outpatient therapy and other durable medical equipment.  Note: in 2012, there may be limits on physical therapy, occupational therapy and speech language pathology services.  If so, there may be exceptions to these limits.
  • Mental Health Services.  You pay 40% of the Medicare-approved amount for most outpatient mental health care.
  • Other Covered Services.  You pay co-payment or coinsurance amounts.
  • Outpatient Hospital Services.  You pay a coinsurance (for doctor services) or a co-payment amount for most outpatient hospital services.  The co-payment for a single service cannot be more than the amount of the inpatient hospital deductible.
  • Note:  All Medicare Advantage plans must cover these services.  Costs vary according to plan design and may be either higher or lower than those noted above.  Review the coverage descriptions in your plan.

Part D (Prescription Drug Plans) Premiums

If your yearly income in 2010 was:
  • Filing individually: $85,000 or less.  You pay your plan premium.
  • Filing jointly: $170,000 or less.  You pay your plan premium.
  • Filing individually: above $85,001 and up to $107,000.  You pay $11.60 + your plan premium.
  • Filing jointly: above $170,001 up to $214,000.  You pay $11.60 + your plan premium.
  • Filing individually: above 107,001 up to $160,000.  You pay $29.90 + your plan premium.
  • Filing jointly: above $214,001 up to $320,000.  You pay $29.90 plus your plan premium.
  • Filing individually: above $160,001 up to $214,000.  You pay $48.10 + your plan premium.
  • Filing jointly: above $320,001 up to $428,000.  You pay $48.10 + your plan premium.
  • Filing individually: above $214,000.  You pay $66.40 + your plan premium.
  • Filing jointly: above $428,000.  You pay $66.40 + your plan premium.

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