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Each year Medicare sets how much you pay for its premiums,
deductibles, and co-payments for Part A & Part B. The table below
show the rates for Part B in 2009:
The reason you purchase a Medicare Supplement is to fill or cover
the Gaps and co-insurance left by Medicare Parts A & B.
The table below shows the Medicare Part B
premiums and is based on your last years tax return.
Part A Premiums:
Most people do not pay for Part A,
because they have paid Medicare taxes for 40 or more quarters while
working. Those with 30 to 39 quarters of covered
employment can buy into Part A coverage. If you have 30-39
quarters paid into the system you will pay $244 a month in 2009. If
you
have less than 30 quarters of covered employment you will pay $443
for Part A in
2009.
Part B Premiums
Most people on Medicare will pay $96.40 a
month for Part B in 2009.
The Part B
premiums did not change from the 2008 rates. Higher-income people will pay even more.
The Part B premium will most often be deducted from your Social
Security check. However, if you are not getting Social Security
Benefits yet because you are not eligible, Medicare will bill you
quarterly until you start receiving benefits.
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Tax Return Income (Individual) |
Joint Tax Return Income (Married Couples) |
2009 Monthly Part B Premium |
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Up to $85,000 |
Up to $170,000 |
$96.40 |
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$85,001 to $107,000 |
$170,001 to $214,000 |
$134.90 |
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$107,001 to $160,000 |
$214,001 to $320,000 |
$192.70 |
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$160,001 to $213,000 |
$320,001 to $426,000 |
$250.50 |
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Over $ 213,000 |
Over $426,000 |
$308.30 |
If you’re on Medicare before Jan. 1, 2009, you’ll be told at the
end of 2008 about the 2009 rates. You'll also find out about any
related changes in your Social Security benefits. If you enroll
after then and must pay the higher premium, you’ll hear shortly
after enrolling.
Deductibles and Co-payments
Part A Deductible: The 2009 Part A deductible is $1,068 per
illness, up $44 from 2008.
Part B Deductible: The 2009 Part B deductible is
$135, the same as it was in 2008.
Part A Co-payments: The Part A deductible covers
the first 60 days of a Medicare-covered hospital stay. Then you pay
$267 a day for days 61 through 90. After the 90th day, your co-pay
for lifetime reserve days is $534 a day.
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All of these plans are the same with every
insurance company offering the plan.
Not all plans are offered by every insurance
company...
The one you select can make a difference on
how much your "out of pocket expenses" will be...
We help you make a wise choice...
Most of the time we recommend
Medicare
Supplement plan F or
Medicare
Supplement plan G
highlighted in the chart below in yellow. But the choice is
entirely up to you...
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There are 12 standardized Medicare Supplement plans “A”
through “L”.
The benefits of each plan are different, with the exception
that all plans are required to cover the “Basic Benefits” which are identified
below. Medicare standardized the plans in 1990 to limit the consumer’s
confusion when comparing coverage offered by different
insurance
companies. With standardization, the consumer can easily
compare the benefits and the cost between the different
insurance companies offering the plans. The words "Medicare
supplement" and MediGap plans are interchangeable and mean
exactly the same thing. The descriptions
of benefits of each of these plans are in the table below.
How to read the
chart: If a check mark appears in the column, this
means that the MediGap policy covers that benefit up to
100% of the Medicare-approved amount. If a column
lists a percentage, this means the MediGap policy covers that
benefit at that percentage rate of the Medicare-approved
amount. If no percentage appears or if the column is blank,
this means the MediGap policy doesn't cover
that benefit. Note: The coverage of
coinsurance only begins after you have paid the deductible on
plans K & L. This does not apply to the Medicare Part B excess
charges in Plan G.
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2009 Medicare Supplement Benefit
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| Medicare Part A Coinsurance and MediGap
Coverage for Hospital Benefits |
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| Medicare Part B
Coinsurance or Co-payment |
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50%
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75%
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| Blood (First Three Pints) |
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50%
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75%
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| Hospice Care
Coinsurance or Co-payment |
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50%
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75%
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| Skilled Nursing Coinsurance |
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50%
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75%
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| Medicare Part A
Deductible |
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| Medicare Part B Deductible |
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| Medicare Part B
Excess Charges |
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80%
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| Foreign Travel Emergency (Up to
Plan Limits) |
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| At-Home Recovery
(Up to Plan Limits) |
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| Preventive Care Coinsurance
(Included in the Part B Coinsurance) |
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| Preventive Care not
Covered by Medicare (up to $120) |
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2009 out-of-pocket limit:
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$4,620** |
$2,310** |
| *Medicare Supplement Plans F and J also have a high deductible
option. We don't recommend the high deductible plans.
If you select the high deductible plans you have to pay the
first $2,000 (deductible in 2009) in MediGap-covered costs
before the MediGap policy pays anything. You must also pay a
separate deductible for foreign travel emergency ($250 per
year). **After you meet
your out-of-pocket yearly limit and your $135 yearly Part B
deductible, the plan pays 100% of covered services for the
rest of the calendar year. |
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Basic Benefits
• Coinsurance for days 61-90 ($267 per day) and days 91-150
($534 per day) in hospital
• Payment in full for 365 additional hospital days
• 20% coinsurance for physician and other Medicare Part B
services
Medicare Part A Hospital Deductible
• The 2009 deductible is $1068
Skilled Nursing Facility (SNF) Coinsurance
• $133.50 a day for days 21-100 in a Skilled Nursing Facility in
2009
Medicare Part B Yearly Deductible
• The 2009 deductible is $135
Medicare Part B Excess Charges
• Difference between doctor's charge and Medicare's approved
amount
• Up to 15% above the Medicare approved charge which is the
doctor’s maximum charge
Foreign Travel Emergency
• Pays 80% of the cost of emergency care during the first two
months of each trip after you pay a $250 deductible
• Lifetime maximum of $50,000
At-Home Recovery
• While receiving skilled home care, extra home health aide
visits
• Home health aides up to 40 visits after skilled care is no
longer needed
• Maximum of $40 per visit to 40 visits per year, for total of $1,600 per
year
Preventive Care
• Up to $120 per year for preventive services ordered by doctor
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