The Centers for Medicare & Medicaid Services (CMS) issued the 2016 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. The 2016 deductible, coinsurance and base premium rates are:
2016 PART A – HOSPITAL INSURANCE (HI)
Deductible: $ 1,288.00
Coinsurance:
$ 322.00 a day for 61st-90th day
$ 644.00 a day for 91st-150th day (lifetime reserve days)
$ 161.00 a day for 21st-100th day (Skilled Nursing Facility coinsurance)
• Base Premium (BP): $ 411.00 a month
• BP with 10% surcharge: $ 452.10 a month
• BP with 45% reduction: $ 226.00 a month (for those who have 30-39 quarters of coverage)
• BP with 45% reduction and 10% surcharge: $ 248.60 a month
2016 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: $ 121.80 a month
Deductible: $ 166.00 a year
Pro Rata Data Amount
$ 118.86 1st month
$ 47.14 2nd month
Coinsurance: 20 percent
Coding Ahead
