2021 Medicare Costs

2021 Medicare Costs

On November 6, 2020, the Centers for Medicare & Medicaid Services (CMS) released the 2021 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs.

Medicare Part B Premiums/Deductibles

Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.

Each year the Medicare premiums, deductibles, and coinsurance rates are adjusted according to the Social Security Act. For 2021, the Medicare Part B monthly premiums and the annual deductible are higher than the 2020 amounts. The standard monthly premium for Medicare Part B enrollees will be $148.50 for 2021, an increase of $3.90 from $144.60 in 2020. The annual deductible for all Medicare Part B beneficiaries is $203 in 2021, an increase of $5 from the annual deductible of $198 in 2020.

The Part B premiums and deductible reflect the provisions of the Continuing Appropriations Act, 2021 and Other Extensions Act (H.R. 8337).

CMS is committed to empowering beneficiaries with the information they need to make informed decisions about their Medicare coverage options, including providing new tools to help them make those decisions through the eMedicare initiative. In addition to the recently released premiums and cost sharing information for 2021 Medicare Advantage and Part D plans, we are releasing the premiums and cost sharing information for Fee-for-Service Medicare, so beneficiaries understand their options for receiving Medicare benefits. As previously announced, average 2021 premiums for Medicare Advantage plans are expected to decline 34.2 percent from 2017 while plan choices, benefits, and enrollment continue to increase. The Medicare Advantage average monthly premium will be the lowest in fourteen years (since 2007). Premiums and deductibles for Medicare Advantage and Medicare Part D Prescription Drug plans are already finalized and are unaffected by this announcement.

Medicare Part B Income-Related Monthly Adjustment Amounts

Since 2007, a beneficiary’s Part B monthly premium is based on his or her income. These income-related monthly adjustment amounts affect roughly 7 percent of people with Medicare Part B. The 2021 Part B total premiums for high-income beneficiaries are shown in the following table:

Premiums for high-income beneficiaries who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows:

Medicare Part A Premiums/Deductibles

Medicare Part A covers inpatient hospital, skilled nursing facility, and some home health care services. About 99 percent of Medicare beneficiaries do not have a Part A premium since they have at least 40 quarters of Medicare-covered employment.

The Medicare Part A inpatient hospital deductible that beneficiaries will pay when admitted to the hospital will be $1,484 in 2021, an increase of $76 from $1,408 in 2020. The Part A inpatient hospital deductible covers beneficiaries’ share of costs for the first 60 days of Medicare-covered inpatient hospital care in a benefit period. In 2021, beneficiaries must pay a coinsurance amount of $371 per day for the 61st through 90th day of a hospitalization ($352 in 2020) in a benefit period and $742 per day for lifetime reserve days ($704 in 2020). For beneficiaries in skilled nursing facilities, the daily coinsurance for days 21 through 100 of extended care services in a benefit period will be $185.50 in 2021 ($176.00 in 2020).

Enrollees age 65 and over who have fewer than 40 quarters of coverage and certain persons with disabilities pay a monthly premium in order to voluntarily enroll in Medicare Part A. Individuals who had at least 30 quarters of coverage or were married to someone with at least 30 quarters of coverage may buy into Part A at a reduced monthly premium rate, which will be $259 in 2021, a $7 increase from 2020. Certain uninsured aged individuals who have less than 30 quarters of coverage and certain individuals with disabilities who have exhausted other entitlement will pay the full premium, which will be $471 a month in 2021, a $13 increase from 2020.

For more information on the 2021 Medicare Parts A and B premiums and deductibles (CMS-8074-N, CMS-8075-N, CMS-8076-N), please visit:

Medicare and You – 2020 Handbook

Medicare and You – 2020 Handbook

If you want to know what Medicare covers in 2020 check out the Medicare & You 2020 Handbook – Link to handbook at bottom of this page

Here you can:
• Learn about your Medicare choices. There are 2 main ways to get your Medicare coverage—Original Medicare and Medicare Advantage. See the next few pages
to learn more.
• Find out how and when you can sign up. If you don’t have Medicare Part A or Part B, see Section 1, which starts on page 15. If you don’t have Medicare prescription drug coverage (Part D), see Section 6, which starts on page 73. There may be penalties if you don’t sign up when you’re first eligible.
• If you have other health insurance, see pages 20–21 to find out how it works with Medicare.

If you already have Medicare:
• You don’t need to sign up for Medicare each year. However, you should review your Medicare health and prescription drug coverage and make changes if it no
longer meets your needs or if you could lower your out-of-pocket expenses.
• Mark your calendar with these important dates! This may be the only chance you have each year to make changes to your coverage.
Medicare & You 2020 Handbook
https://www.medicare.gov/pubs/pdf/10050-medicare-and-you.pdf

Does Medicare Cover Gynecology?

Does Medicare Cover Gynecology?

Gynecology, often grouped with obstetrics, is a branch of medicine that specializes in the diagnosis and treatment of diseases of the female reproductive organs, according to the National Cancer Institute. Gynecology also specializes in other women’s health issues, such as menopause, hormone problems, contraception and infertility. Original Medicare Part B (medical insurance) covers a number of important gynecology services.

What gynecology services does Medicare cover?

One role of gynecology is to screen for cancer. Pelvic exams and pap tests to check for cervical and vaginal cancer are covered once every 24 months for all women with Medicare Part B, as long as your doctor accepts Medicare. If you’re at high risk for cervical or vaginal cancer or if you’re of childbearing age and had an abnormal Pap test in the past 36 months, you qualify for these gynecology screenings once every 12 months under Medicare.

As part of the gynecology exam, women are also covered for a clinical breast exam to check for breast cancer. In addition, women ages 35 to 39 with Medicare can get one baseline mammogram, and women age 40 and older with Medicare can get a screening mammogram every 12 months. The provider must accept Medicare assignment. If a diagnostic mammogram is required, then you would have to pay 20% of the Medicare-approved amount, and the Part B deductible applies.

Women might also ask their gynecologists about sexually transmitted infections (STI) screenings and counseling, another important part of gynecology. Part B covers tests for chlamydia, gonorrhea, syphilis, and/or hepatitis B once every 12 months or at certain times during pregnancy.

Medicare will also cover up to two individual behavioral counseling sessions each year for sexually active adults who are determined by a health-care provider to be at increased risk for STIs. There’s generally no cost for STI screenings or counseling for a Medicare beneficiary as long as the provider accepts Medicare assignment.

Medicare may cover other health issues in the field of gynecology, such as endometriosis, incontinence, uterine fibroids, ovarian cysts, and urinary tract infections.

Want to learn more about how Medicare covers gynecology?

You may able to obtain Medicare coverage beyond the benefits offered by Original Medicare, Part A and Part B through a Medicare Advantage plan. Want to learn more? I can help. Use one of the links below to set up a phone call or get an email with personalized information. Use the Compare Plans buttons on this page.

Call Medicare.com’s licensed insurance agents at 1-844-847-2660, TTY users 711; Monday through Friday, 8AM to 8PM ET.

Reprinted content from an article by Victoria Burke and appears at Medicare.com under articles and the coverage category.

New Medicare Cards Protect Your Personal Information

New Medicare Cards Protect Your Personal Information

https://www.medicare.gov/new card

Starting in April 2018, Medicare will mail new Medicare cards to all people with Medicare, to help protect you from identity fraud. Fraudsters are always looking for ways to get your Social Security Number so they’re removing Social Security Numbers from all Medicare cards to make them safer.

Your new card will have a new Medicare Number that’s unique to you. The new card will help protect your identity and keep your personal information more secure. Your Medicare coverage and benefits stay the same.
And there’s more good news—Medicare will automatically mail your new card at no cost to the address you have on file with Social Security. There’s nothing you need to do! If you need to update your official mailing address, visit your online my Social Security account or call 1-800-772-1213.

Once you get your new Medicare card, take these 3 steps to make it harder for someone to steal your information and identity:

1. Destroy your old Medicare card right away.
2. Use your new card. Doctors, other health care providers, and plans approved by Medicare know that Medicare is replacing the old cards. They are ready to accept your new card when you need care.
3. Beware of people contacting you about your new Medicare card and asking you for your Medicare Number, personal information, or to pay a fee for your new card. Treat your Medicare Number like you treat your Social Security or credit card numbers. Remember, Medicare will never contact you uninvited to ask for your personal information.

This information was taken from: https://blog.medicare.gov/2018/01/25/new-medicare-cards-protect-personal-information/