Appendix C
Medicare Cost Sharing Amounts
This appendix provides cost sharing amounts for Medicare.
Medicare Part A Cost Sharing Amounts
|
Cost Type |
2025 |
2026 |
|
Premium |
Send SVES |
Send SVES |
|
Deductible |
$1,676 |
$1,716 |
|
Hospital Coinsurance days 61-90 |
$419 |
$429 |
|
Hospital Coinsurance days 91-150 |
$838 |
$858 |
|
Skilled Nursing Facility Coinsurance days 1-20 |
$0 |
$0 |
|
Skilled Nursing Facility Coinsurance days 21-100 |
$209.50 |
$214.50 |
Medicare Part B Cost Sharing Amounts
|
Cost Type |
2025 |
2026 |
|
All Other Premium Amounts |
Send SVES |
Send SVES |
|
Deductible |
$257 |
$283 |
|
MSHO and SNBC plans that will pay the portion listed of the Medicare Part B Premium |
None |
None |
Medicare Part D Cost Sharing Amounts
For information about which Medicare Part D plans in Minnesota are benchmark plans, refer to the Resources section in ONEsource for the 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.
Standard Benefit Information
|
Cost Type |
2025 |
2026 |
|
Premium |
Varies |
Varies |
|
Annual Deductible |
$590 |
$615 |
|
Coinsurance Costs |
$2,000 annual cap on all covered drugs |
$2,100 annual cap on all covered drugs |
|
Coverage Gap Costs |
N/A |
N/A |
|
Copayments |
|
|
Extra Help Full Subsidy Information
|
Cost Type |
2025 |
2026 |
|
Premium |
$0 |
$0 |
|
Annual Deductible |
$0 |
$0 |
|
Coinsurance Costs |
None |
None |
|
Coverage Gap Costs |
None |
None |
|
Copayments |
≤ 100% FPG
|
≤100% FPG
|