Medicare Premium and Deductible Costs for 2019
As a Medicare beneficiary, it’s important for you to be aware of the costs and expenses associated with the government-sponsored health insurance program. Here’s a look at Medicare premiums, deductibles, and other costs for 2019, for all parts of Medicare, including Original Medicare (Part A and Part B), Medicare Advantage, Medicare Part D, and Medicare Supplement Insurance.
Medicare Part A costs in 2019
Medicare Part A (hospital insurance) is part of Original Medicare. Most Medicare beneficiaries don’t pay a Part A premium — you don’t have to pay this premium if you’ve worked at least 10 years (40 quarters) while paying Medicare taxes. If you do pay a premium for Medicare Part A, you may have to pay a higher premium if you delay enrollment until after you’re first eligible for the program.
Here’s a look at Medicare Part A costs for 2019:
|Medicare Part A premium||If you don’t qualify for premium-free Medicare Part A, it will cost you $240 per month if you’ve worked and paid Social Security taxes for 30 to 39 quarters, and $437 per month if you’ve worked and paid Social Security taxes for less than 30 quarters.|
|Medicare Part A hospital inpatient deductible||You pay:
After you’ve used up your lifetime reserve days, you pay all costs, unless you have other coverage.
|Skilled Nursing Facility Stay||You pay:
Medicare Part B costs in 2019
Medicare Part B (medical insurance) is also part of Original Medicare. Part B carries a monthly premium and an annual deductible. Costs shown below are for 2019.
|Medicare Part B premium||The amount you pay for your Part B premium may vary based on your situation. The standard premium in 2019 is $135.50. Your premium might be more, depending on your income level.|
|Medicare Part B deductible||$185 per year|
|Medicare Part B monthly premiums for 2019 based on your annual income in 2017|
|You pay…||If you file an individual tax return and your income was:||If you file a joint tax return and your income was:|
|$135.50||$85,000 or less||$170,000 or less|
|$433.40||Over $160,000 and less than $500,000||Over $320,000 and less than $750,000|
|$460.50||$500,000 and above||$750,000 and above|
|You pay…||…if you’re married but file a separate tax return from your spouse and your annual income in 2017 was:|
|$135.50||$85,000 or less|
|$433.40||Over $85,000 and less than $415,000|
|$460.50||$415,000 and above|
Besides the premium and deductible, there are other Medicare Part B costs you should know about: for example, many Medicare services and supplies require a 20% coinsurance payment or a copayment after you’ve reached your annual deductible.
Medicare Advantage costs in 2019
Medicare Advantage (Medicare Part C) is private health insurance through which you can get your Medicare Part A and Part B benefits. Medicare Part A continues to pay for hospice benefits when you have a Medicare Advantage plan. Some Medicare Advantage plans include prescription drug coverage and may include other benefits as well. Premiums and deductibles for Medicare Advantage plans may vary, depending on which plan you choose and the extent of your health coverage.
eHealth analyzed results from over 22,000 consumers who chose Medicare plans using eHealth’s online plan comparison tool, and published a Choice and Impact Study in 2017 that found:
- About 86% of people enrolled in Medicare Advantage Prescription Drug plans may have saved money if they had switched plans.
- Beneficiaries could have saved an average of $807 in one year by switching from one Medicare Advantage Prescription Drug plan to another.
Medicare Part D Prescription Drug Plan costs in 2019
Costs for Medicare Part D Prescription Drug Plans may differ depending on various factors, such as the plan you choose and the medications you use. Deductible amounts are determined by the plan; each plan may have a different deductible amount. Some plans may have a $0 deductible amount, and no plan may have a deductible higher than $415 in 2019.
Be aware that many Medicare Part D Prescription Drug Plans place a limit on how much they will pay for your prescription drugs in one year. For the year 2019, once you and your plan have spent a combined $3,820 on covered prescription drugs, you’ll reach the coverage gap (sometimes also referred to as the “donut hole”). During the coverage gap, you may have to pay up to 25% of your plan’s price for covered brand-name prescription drugs and 37% of the price of generic drugs.
If you don’t sign up for Medicare Part D prescription drug coverage (a stand-alone Medicare Part D Prescription Drug Plan or a Medicare Advantage Prescription Drug plan) when you’re newly eligible for Medicare, you might be subject to a late-enrollment penalty when and if you decide to get this coverage at a later date. You may be able to avoid this penalty if you’re covered by another prescription drug plan that’s “creditable” (expected to pay, on average, at least as much as Medicare Part D typically pays).
If you go without creditable prescription drug coverage for a period of 63 consecutive days or more, you could incur the penalty when you sign up for a Medicare Prescription Drug Plan or Medicare Advantage Prescription Drug plan. You can calculate the late-enrollment penalty by multiplying the number of full months you went without Part D or creditable coverage by 1% of the national base beneficiary premium, which is $33.19 per month in 2019. Then, round the total to the nearest $0.10, and add it to your Medicare Prescription Drug Plan’s monthly premium.
Medicare Supplement plan costs in 2019
If you need help paying for health-care costs that aren’t covered by Original Medicare — like deductibles, coinsurance, and copayments — you may want to consider purchasing a Medicare Supplement Insurance plan (also known as a Medigap plan). Medigap is private insurance, and premiums may vary depending on the area you live in and which plan you choose.
There are 10 standardized Medigap plans in most states, and while plans of the same name have the same coverage, the coverage varies among standardized plans of different names. For example, Medigap Plan K has an out-of-pocket maximum of $5,560, while Plan L carries an out-of-pocket maximum of $2,780 (in 2019). Both plans pay 100% of the cost of Medicare-covered services after you reach your out-of-pocket maximum.
This website and its contents are for informational purposes only. Nothing on the website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/co-insurance may change on January 1 of each year.
eHealth´s Medicare website is operated is operated by eHealthInsurance Services, Inc., a health insurance agency licensed to sell Medicare products.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company.
Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.