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Medicare Releases 2019 Cost & Coverage Figures

The Centers for Medicare & Medicaid Services (CMS) has announced the Medicare Part A and Part B premiums and costs for 2019 on October 12th, 2018, one day after the Social Security Administration’s COLA announcement of a 2.8% adjustment for 2019.  Read below for the new Medicare costs and coverage information for 2019.

Part A Costs

2018 2019
Part A Premium Most people don’t pay a monthly premium for Part A.  If you do buy Part A, you’ll pay up to $422 each month if you paid Medicare taxes for less than 30 quarters.  If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $232 Most people don’t pay a monthly premium for Part A.  If you do buy Part A, you’ll pay up to $437 each month if you paid medicare taxes for less than 30 quarters.  If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $240
Part A
Deductible & Coinsurance
  • $1,340 deductible for each benefit period
  • Days 1-60: $0 coinsurance for each benefit period
  • Days 61-90: $335 coinsurance per day of each benefit period
  • Days 91 and beyond: $670 coinsurance per each “lifetime reserve cay” after day 90 for each benefit period (up to 60 days over your lifetime)
  • Beyond lifetime reserve days: all costs
  • $1,364 deductible for each benefit period
  • Days 1-60: $0 coinsurance for each benefit period
  • Days 61-90: $341 coinsurance per day for each benefit period
  • Days 91 and beyond: $682 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime)
  • Beyond lifetime reserve days: all costs

Part B Costs

2018 2019
Part B Premium The standard Part B premium amount is $134 (or higher depending on your income).  However, some people who get Social Security benefits will pay less than this amount ($130 on average) The standard Part B amount is $135.50 (or higher depending on your income).
Part B
Deductible 
& Coinsurance
  • $183 deductible per year
  • After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services, outpatient therapy, and durable medical equipment (DME).
  • $185 deductible per year
  • After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services, outpatient therapy, and durable medical equipment (DME).

2019 Part B & Part D IRMAA Premiums

Individuals whose modified adjusted gross income as reported on their IRS tax return from 2 years ago is above certain thresholds will pay higher amounts for their monthly Part B and Part D premiums.

2019 Medicare Part B Income Related Adjustment Amount

File individual tax return File joint tax return File married & separate tax return You pay each month in 2019:
$85,000 or less $170,000 or less $85,000 or less $135.50
above $85,000 up to $107,000 above $170,000 up to $214,000 Not applicable $189.60
above $107,000 up to $133,500 above $214,000 up to $267,000 Not applicable $270.90
above $133,500 up to $160,000 above $267,000 up to $320,000 Not applicable $352.20
above $160,000 and less than $500,000 above $320,00 and less than $750,000 above $85,000 and less than $415,000 $433.40
$500,000 or above $750,000 and above $415,000 and above $460.50

 

2019 Medicare Part D Income Related Adjustment Amount

File individual tax return File joint tax return File married & separate tax return You pay each month in 2019:
$85,000 or less $170,000 or less $85,000 or less your plan premium
above $85,000 up to $107,000 above $170,000 up to $214,000 Not applicable $12.40 + your plan premium
above $107,000 up to $133,500 above $214,000 up to $267,000 Not applicable $31.90 + your plan premium
above $133,500 up to $160,000 above $267,000 up to $320,000 Not applicable $61.40 + your plan premium
above $160,000 and less than $500,000 above $320,00 and less than $750,000 above $85,000 and less than $415,000 $70.90 + your plan premium
$500,000 or above $750,000 and above $415,000 and above $77.40 + your plan premium
Chris Hagerstrom

Chris Hagerstrom is the National Marketing Communications Analyst at Jack Schroeder and Associates, Inc. Through years of experience he has become an expert with Medicare, Life Insurance, Annuities and Supplemental Health and how to successfully navigate the senior market.