This is an archived document and does not contain the most current information for this topic. Use this document for reference only.

Appendix C

Medicare Cost Sharing Amounts (Archive)

This appendix provides cost sharing amounts for Medicare.

Medicare Part A Cost Sharing Amounts

Cost Type	2017	2018
Premium	Varies	Varies
Deductible	$1,316	$1,340
Hospital Coinsurance days 61-90	$329	$335
Hospital Coinsurance days 91-150	$658	$670
Skilled Nursing Facility Coinsurance days 1-20	$0	$0
Skilled Nursing Facility Coinsurance days 21-100	$164.50	$167.50

Cost Type	2017	2018
All Other Premium Amounts	Varies	Varies
Deductible	$166	$183
MSHO and SNBC plans that will pay the portion listed of the Medicare Part B Premium	Health Partners Classic MSHO - $17.50	Health Partners Classic MSHO - $6.60

For information about which Medicare Part D plans in Minnesota are benchmark plans, refer to the 2018 Amounts in Excess of Medicare Part D Benchmark to Apply as Medical Expense document. The document also provides the amount a person pays out of pocket for non-benchmark plans.

Cost Type	2017	2018
Premium	Varies	Varies
Annual Deductible	$400	$405
Coinsurance Costs	25% of drug costs between $400.01 and $3,700 (Cap of $7,425)	25% of drug costs between $405.01 and $3,750 (Cap of $7,508.75)
Coverage Gap Costs	100% of costs between the initial coverage limit based on drug costs between $3,700.01 and $7,425. 60% discount on brand name drugs 49% discount on generic drugs	100% of costs between the initial coverage limit based on drug costs between $3,750.01 and $7,508.75. 65% discount on brand name drugs 56% discount on generic drugs
Copayments	$3.30 generic drugs $8.25 brand name drugs	$3.35 generic drugs $8.35 brand name drugs

Cost Type	2017	2018
Premium	$0	$0
Annual Deductible	$0	$0
Coinsurance Costs	None	None
Coverage Gap Costs	None	None
Copayments	< 100% FPG: $1.20 generic drugs $3.70 brand name drugs	< 100% FPG $1.25 generic drugs $3.70 brand name drugs

Cost Type	2017	2018
Premium	Sliding scale premiums	Sliding scale premiums
Annual Deductible	$82	$83
Coinsurance Costs	15%	15%
Coverage Gap Costs	None	None
Copayments	$3.35 generic drugs $8.25 brand name drugs	$3.35 generic drugs $8.35 brand name drugs