2010 MEDICARE PREMIUMS, DEDUCTIBLES & CO-PAYMENTS*

Part A (Hospital) Deductibles Per Benefit Period

$1,100 deductible, paid upon admission as a hospital inpatient for 1-60 days
$275 per day for 61-90 days
$550 per day for days 91-150 (lifetime reserve days; non-renewable)
All costs for each day beyond 150 days

Part A Monthly Premium

40 or more quarters $0
30 - 39 quarters of coverage $254.00/month
Less than 30 quarters $461.00/month

Skilled Nursing Facility Care

Covered in full for the first 20 days after a minimum 3-day qualifying hospital stay
(day of discharge not included)
Beneficiaries pay $137.50 per day for days 21-100
Beneficiaries pay all costs after 100 days
Does NOT include custodial care

Paying for Hospice Care

Co-payment up to $5 per outpatient prescription drug
5% of Medicare-approved amount for inpatient respite care

2010 PART B PREMIUMS, DEDUCTIBLES & CO-INSURANCE*

Part B (Medical) Annual Deductible $155.00

Coinsurance for most services 20% of Medicare approved amount after annual deductible

Part B Monthly Premiums

If Your Yearly Income is		You pay
File Individual Tax Return	File Joint Tax Return
$85,000 or less	$170,000 or less	$110.50 +
$85,001-$107,00	$170,000-$214,000	$154.70
$107,001-$160,000	$214,001-$320,000	$221.00
$160,001-$213,000	$320,001-$426,000	$287.30
Above $213,000	Above $426,000	$353.60

*Applies to Original Medicare Plan (Medicare Fee-for-Service)
Co-payment: fixed dollar amount after annual deductible is met.
Coinsurance: % of Medicare approved amount after annual deductible is met.

+Most Part B enrollees will continue to pay the 2009 monthly premium of $96.40 due to the "Hold Harmless" provision. Exceptions include those whose premiums are not withheld from Social Security benefit payment.

Prescription Drugs Benefit Parameters	2009	2010
Deductible	$295.00	$310.00
Initial Coverage Limit	$2,700.00	$2,830.00
Out-of-Pocket Threshold	$4,350.00	$4,550.00
Total Covered Drug Spend at OOP Threshold	$6,153.75	$6,440.00
Minimum Cost-Sharing in Catastrophic Coverage	$2.40/$6.00	$2.50/$6.30
LIS Copayments	2009	2010
Institutionalized	$0	$0
Up to or at 100% FPL	$1.10/$3.20	$1.10/$3.30
Other LIS	$2.40/$6.00	$2.50/$6.30
Partial LIS Deductible/Cost-Sharing	$60/15%	$62/15%