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Medicare 2019 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:
    $437 per month—0 to 29 quarters
    $240 per month—30 to 39 quarters

Hospital Stay Deductible and Costs:

  • $1,364—Deductible each benefit period
  • $341 per day—For days 61 thru 90 each benefit period
  • $682—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
  • $170.50 per day—For 21 to 100 days in benefit period

Part B Costs

Part B Monthly Premium:

  • $135.50—If income is under $85,000 per year single; $170,000 couple
  • Less than $135.50—28 percent of all Part B enrollees will pay less than $135.50 because the COLA increase in their Social Security checks will not be large enough to cover the full increase of $135.50 for the Part B premium
  • $135.50—You will pay this amount if you are new to Medicare Part B in 2019, 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 $135.50 per month for those who meet the income and asset guidelines for these programs), and if you were enrolled in QMB or SLMB in 2018 or 2019 and lost the benefit because your income rose or you failed to recertify

Part B Deductible:

  • The first $185 yearly.

Assistance with Medicare Part D

Extra Help: 2019

  • 2019 Benchmark—$29.98
  • 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 $3.80
  • Full Extra Help—(Those who quality for QMB or SLMB) Extra Help: generic $3.40; brand $8.50

Maryland Senior Prescription Drug Assistance Program

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

2019 Standard Medicare D Plan:

  • A monthly premium
  • May be a deductible of no more than $415
  • Initial coverage period lasts until the total amount spent on Part D drugs reaches $3,820 (includes amounts paid by plan, as well as the beneficiary, who typically pays less than 25 percent of retail cost for brand drugs and up to 100 percent of retail cost for generics).
  • Coverage gap period, known as the donut hole. beneficiary generally pays 25 percent of retail for brand drugs and 37 percent of retail for generics
  • Catastrophic coverage period starts when total out of pocket threshold of $5,100 is reached (at this time the full cost of drugs to date has reached approximately $7653.75). Within this period, brand and generic drugs will cost five percent of retail or less for the remainder of the calendar year
 
Revised March 20, 2019         

 

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