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New Year, New Medicare Deductible

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Tags: Medicare, Medicare deductibles 2016, Medicare supplement

The start of the New Year resets your Medicare deductibles.  It is important to know how much each deductible is and whether or not you’ll be paying or your Medicare plan will be paying. A deductible is the amount you must pay before your insurance begins to pay.

Type of Deductible

Frequency

Amount

Medicare Part A deductible (Hospital)

 

Benefit period

$1288

 

Part B Deductible (Doctor

 

Annual

$166

Part D Deductible (prescription drug) 

 

Annual

0-$360

 

What’s a benefit period for Part A (hospital) benefits?

Unlike other deductibles in Medicare plans, this is not an annual benefit.  A benefit period begins the day you're admitted as an inpatient in a hospital or skilled nursing facility. The benefit period ends when you haven't received any inpatient hospital care (or skilled care in a SNF) for 60 days in a row. If you go into a hospital or a SNF after one benefit period has ended, a new benefit period begins. You must pay the inpatient hospital deductible for each benefit period. There's no limit to the number of benefit periods.

 

What if I have a Medicare Supplement Plan?

Whether or not you pay the deductible depends on the type of Medicare supplement plan you have.  Medicare supplement plan you have.  With a Plan A, K, L and M you will pay all or some of the deductible depending on your plan.

The only Medicare supplement plans that pay the Part B deductible are Plan C and Plan F.  For all other plans you will pay the annual deductible first before your plan pays.  Remember if you moved moved from a Plan F to a Plan G in 2015, you will be paying the $166 deductible first before your plan begins to pay.

What if I have a Medicare Advantage plan?

The amount you pay as you use services depends upon the specific plan.  So review your plan benefits to understand what you will pay in deductibles, copays and/or coinsurance.

Prescription Drug Plan Deductibles

Check your plan to see what you will pay before your plan pays.  Some plans have no deductible while others may charge the full $360 permitted.

Don’t be surprised. Know your deductible before you go to the doctor, hospital or pharmacy.

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