CR 11025 has been released, which includes 2019 Medicare deductible, coinsurance, and premium rates. These rates are effective on January 1, 2019. Be sure to make all necessary changes to your claims processing system! The new rates are broken out below:
2019 PART A – HOSPITAL INSURANCE (HI)
• Part A Deductible: $1,364.00
• Part A Coinsurance:
– $341.00 a day for 61st-90th day
– $682.00 a day for 91st-150th day (lifetime reserve days)
– $170.50 a day for 21st-100th day (SNF) coinsurance
• Base Premium (BP): $437.00 a month
• BP with 10% surcharge: $480.70 a month
• BP with 45% reduction: $240.00 a month (for those who have 30-39 quarters of coverage)
• BP with 45% reduction and 10% surcharge: $264.00 a month
2019 PART B – SUPPLEMENTARY MEDICAL INSURANCE (SMI) (may vary based on beneficiary income)
• Standard Premium: $135.50 a month
• Deductible: $185.00 a year
• Pro Rata Data Amount:
– $133.57 1st month
– $51.43 2nd month
• Coinsurance: 20 percent