Medicare Cost Sharing Amounts (Archive)

This section lists Medicare cost sharing amounts.

Medicare Part A.

Medicare Part B.

Medicare Part D.

2014 Cost Sharing Amounts

2013 Cost Sharing Amounts.

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Medicare Part A

The following charts provide the Medicare Part A cost sharing amounts.

Premium - Medicare Part A (paid monthly)
Year	People with 30-39 quarters of Medicare-covered employment	People with less than 30 quarters of Medicare-covered employment
2014	$234	$426
2013	$243	$441
2012	$248	$451
Note: Not all Medicare recipients have to pay a premium for Part A coverage.

Deductible - Medicare Part A (per benefit period for hospital stays that are 60 days or less)
Year	Deductible Amount
2014	$1,216
2013	$1,184
2012	$1,156

Skilled Nursing Facility Coinsurance - Medicare Part A (per benefit period)
Year	Days 1 - 20 (per day)	Days 21 - 100 (per day)
2014	$0	$152.00
2013	$0	$148.00
2012	$0	$144.50
2011	$0	$141.50

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Medicare Part B

Medicare Part B amounts vary by enrollee. The amount of the Part B premium depends upon when the enrollee first became eligible for Medicare Part B, the enrollee’s income and tax filing status. Send a SVES query to determine the amount of the Part B premium for which an enrollee is responsible.

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Medicare Part B - Other Cost Sharing Amounts

The following chart provides the Medicare Part B deductible amounts for each year.

Deductible - Medicare Part B
Year	Annual Deductible
2014	$147
2013	$147
2012	$140

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Medicare Part D

2014 Premium Amounts

The following chart provides the Medicare Part D cost sharing amounts for enrollees for 2014 based on whether or not a client is receiving Extra Help.

2014
	Premium Cost*	Annual Deductible	Co-Insurance Cost	Coverage Gap Costs	Copayments
Standard Benefit	Varies by plan	$310	25% of drug costs between $310.01 and $2,850 Cap of $6,455.00	52.5% discount on Brand name drugs; 28% discount on generic drugs between $2,850.01 and $6,455.00	$2.55 generic drugs; $6.35 brand name drugs
Extra Help - Full Subsidy	$0**	$0	None	None	$1.20 generic drugs; $3.60 brand name drugs***
Extra Help - Partial Subsidy	Sliding scale premiums	$63	15%	None	$2.55 generic drugs; $6.35 brand name drugs
Note: To find a Part D premium amount for a specific plan, see the Medicare web site. To find the amount of a Part D premium for which a client may be responsible, see 2014 Amounts in Excess of Medicare Part D Benchmark to Apply as Medical Expense. Note: If enrolled in benchmark plan. If not, Extra Help pays the standard premium amount and the Medicare recipient pays premium costs in excess of the standard. **Note: MA enrollees who reside in a medical institution, nursing facility or ICF/DD whose costs are paid by MA, or who receive Home and Community Based Services are exempt from copayments.

Note: Beneficiaries who have higher incomes and exceed the same thresholds that apply to the Part B premium will pay a monthly Part D income-related adjustment amount. The beneficiary will pay the monthly premium to the Plan and then pay the income-related adjustment to Medicare.

Minnesota 2014 Benchmark Amount: $32.23.

2013 Premium Amounts

The following chart provides the Medicare Part D cost sharing amounts for enrollees for 2013 based on whether or not a client is receiving Extra Help.

2013
	Premium Cost*	Annual Deductible	Co-Insurance Cost	Coverage Gap Costs	Copayments
Standard Benefit	Varies by plan	$325	25% of drug costs between $325.01 and $2,970 Cap of $6,733.75	52.5% discount on Brand name drugs; 21% discount on generic drugs between $2,970.01 and $6,733.75	$2.65 generic drugs; $6.60 brand name drugs
Extra Help - Full Subsidy	$0**	$0	None	None	$1.15 generic drugs; $3.50 brand name drugs***
Extra Help - Partial Subsidy	Sliding scale premiums	$66	15%	None	$2.65 generic drugs; $6.60 brand name drugs
Note: To find a Part D premium amount for a specific plan, see the Medicare web site. To find the amount of a Part D premium for which a client may be responsible, see 2013 Amounts in Excess of Medicare Part D Benchmark to Apply as Medical Expense. Note: If enrolled in benchmark plan. If not, Extra Help pays the standard premium amount and the Medicare recipient pays premium costs in excess of the standard. **Note: MA enrollees who reside in a medical institution, nursing facility or ICF/DD whose costs are paid by MA, or who receive Home and Community Based Services are exempt from copayments.

Minnesota 2013 Benchmark Amount: $34.61.

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Chapter 22 - Standards and Guidelines	Effective: December 1, 2013
22.55ar9 - Medicare Cost Sharing Amounts (Archive)	Archived: December 1, 2014