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Medicare 2018 Fact Sheet

A, B and D Cost Changes

Part A Costs

Part A Monthly Premium:

  • If you worked 40 or more quarters, generally there is no Part A premium
  • If you worked less than 40 quarters, there is a premium for Part A:
    $422 per month—0 to 29 quarters
    $232 per month—30 to 39 quarters

Hospital Stay Deductible and Costs:

  • $1,340—Deductible each benefit period
  • $335 per day—For days 61 thru 90 each benefit period
  • $670—For lifetime reserve days (after each 90-day benefit period, up to 60 days over your lifetime)

Skilled Nursing Facility Stay:

  • $0—For the first 20 days each benefit period
  • $167.50 per day—For 21 to 100 days in benefit period

Part B Costs

Part B Monthly Premium:

  • $134—If income is under $85,000 per year single; $170,000 couple
  • Less than $134—28 percent of all Part B enrollees will pay less than $134 because the COLA increase in their Social Security checks will not be large enough to cover the full increase of $134 for the Part B premium
  • $134—If you are new to Medicare Part B in 2018, if you are subject to an IRMMA (income is over $85,000 per year single; $179,000 couple), if you are enrolled in QMB and SLMB (the State will pay the full Part B premium of $134 per month for those who meet the income and asset guidelines for these programs), and all who were enrolled in QMB or SLMB in 2017 or 2018 and lost the benefit because their income rose or they failed to recertify

Part B Deductible:

  • The first $183 yearly.

Assistance with Medicare Part D

Extra Help: 2018

  • 2018 Benchmark—$30.70
  • If premium is over the benchmark by $2 or less, some standard plans do not charge the difference
  • Full Dual Eligibles—On Medicare and Medical Assistance (red and white card) Extra Help: generic $1.25; brand $3.70
  • Full Extra Help—(Those who quality for QMB or SLMB) Extra Help: generic $3.35; brand $8.35

Maryland Senior Prescription Drug Assistance Program

  • Will pay up to $40 towards the monthly Medicare Part D Plan's premium  

2018 Standard Medicare D Plan:

  • A monthly premium
  • May be a deductible of no more than $405
  • Initial coverage period lasts until the total amount spent on Part D drugs reaches $3,750 (includes amounts paid by plan, as well as the beneficiary, who typically pays 25 percent of retail cost for brand drugs and generics
  • Coverage gap period, known as the donut hole—beneficiary generally pays 35 percent of retail for brand drugs and 44 percent of retail for generics
  • Catastrophic coverage period starts when total out of pocket threshold of $5,000 is reached (at this time the full cost of drugs is approximately $7508.75). Within this period, brand and generic drugs will cost five percent of retail or less for the remainder of the calendar year
 
Revised December 20, 2017         

 

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