This is an archived document and does not contain the most current information for this topic.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	2019	2020
Premium	Varies	Varies
Deductible	$1,364	$1,408
Hospital Coinsurance days 61-90	$341	$352
Hospital Coinsurance days 91-150	$682	$704
Skilled Nursing Facility Coinsurance days 1-20	$0	$0
Skilled Nursing Facility Coinsurance days 21-100	$170.50	$176

Cost Type	2019	2020
All Other Premium Amounts	Varies	Varies
Deductible	$185	$198
MSHO and SNBC plans that will pay the portion listed of the Medicare Part B Premium	None	None

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	2019	2020
Premium	Varies	Varies
Annual Deductible	$415	$435
Coinsurance Costs	25% of drug costs between $415.01 and $3,820 (Cap of $7,653.75)	25% of drug costs between $435.01 and $4,020 (Cap of $9,038.75)
Coverage Gap Costs	100% of costs between the initial coverage limit based on drug costs between $3,820.01 and $7,653.75. 75% discount on brand name drugs 63% discount on generic drugs	100% of costs between the initial coverage limit based on drug costs between $4,020.01 and $9,038.75. 75% discount on brand name drugs 75% discount on generic drugs
Copayments	$3.40 generic drugs $8.50 brand name drugs	$3.60 generic drugs $8.95 brand name drugs

Cost Type	2019	2020
Premium	$0	$0
Annual Deductible	$0	$0
Coinsurance Costs	None	None
Coverage Gap Costs	None	None
Copayments	< 100% FPG: $1.25 generic drugs $3.80 brand name drugs	< 100% FPG $1.30 generic drugs $3.90 brand name drugs

Cost Type	2019	2020
Premium	Sliding scale premiums	Sliding scale premiums
Annual Deductible	$85	$89
Coinsurance Costs	15%	15%
Coverage Gap Costs	None	None
Copayments	$3.40 generic drugs $8.50 brand name drugs	$3.60 generic drugs $8.95 brand name drugs