2010 Medicare Hospital (Part A) Premiums, Inpatient Deductibles & Copays Announced

The Centers for Medicare & Medicaid Services (CMS) recently announced that the Medicare Hospital Insurance (Part A) premium for uninsured enrollees in calendar year (CY) 2010 for the 12-month period beginning January 1, 2010 will be $461. This premium is paid by enrollees age 65 and over who are not otherwise eligible for benefits under Medicare Part A (hereafter known as the “uninsured aged”) and by certain disabled individuals who have exhausted other entitlement. In some instances, certain of these individuals may qualify for a reduced premium of $254.  You can read more about the uninsured enrollee premium here.

Concurrently, CMS also announced that the inpatient hospital deductible and the hospital and extended care services coinsurance amounts for services furnished in calendar year (CY) 2010 under Medicare’s Hospital Insurance Program (Medicare Part A). For CY 2010, these amounts are as follows:

  • The inpatient hospital deductible will be $1,100.
  • The daily coinsurance amounts for CY 2010 will be:

ü      $275 for the 61st through 90th day of hospitalization in a benefit period;

ü      550 for lifetime reserve days; and

ü      137.50 for the 21st through 100th day of extended care services in a skilled nursing facility in a benefit period.

The Social Security Act (the Act) requires the subtraction of an inpatient hospital deductible and certain coinsurance amounts from the amount otherwise payable under Medicare Part A.  The coinsurance and deductible amounts are calculated based on a statutory formula.  You can review the CMS announcement of these copayment and deductible amounts here.

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