MEDICARE DEDUCTIBLES AND CO-INSURANCE FOR 2004

PART A PREMIUMS:

Hospital Insurance

$0.00 (No premiums) for individuals who have (or whose spouses have) at least 40 quarters of Medicare-covered employment.

$189.00 monthly premium for individuals with between 30-39 quarters of Medicare-covered employment.

$343.00 monthly premium for individuals with less than 30 quarters of Medicare-covered employment.

PART B -- Medical Insurance – Paid by Everyone
$66.60 per month.

Coinsurance and Deductibles For Each Benefit Period:


Part A pays covered costs for inpatient hospital, skilled nursing facility, and some home health care during each benefit period as follows subject to the 2004 deductible of $876 during the first 60 days; except for coinsurance for hospital stays of greater than 60 days; but not to exceed 150 days.

This means that each Medicare Beneficiary pays the following during each Benefit Period for hospital stays:

$876 deductible for a hospital stay of between 1 and 60 days.

$219 per day for each day in the hospital from day 61 to day 90.

$438 per day for each day in the hospital stay from day 91 to day 150 (Lifetime Reserve Days).
Total Obligation for each day after 150 days
And each Medicare Beneficiary pays Coinsurance in a Skilled Nursing Facility As Follows:

$0 for each day from 1 through 20

$109.50 each day for days 21 through 100 during each benefit period.

Part B pays for eligible physician services, outpatient hospital services, some home health services, some durable medical equipment, etc. as follows:

$100.00 per year with the proviso that Medicare Beneficiary pays 20% of the Medicare-approved amount for services after meeting the $100.00 deductible.