Medicare deductibles, copays and coinsurances

Even if Medicare covers a service or item, you will be responsible for deductibles, co-insurance and co-payments.



You will pay a deductible of $  myaarpmedicare 1216 for each benefit period for Part A benefits (usually a hospital stay), as well as significant copayments for a stay in a skilled nursing facility for more than 21 days.


Medicare will generally pay approximately 80% of the benefits approved for Part B. You will be responsible for paying the remaining 20%.


Medicare options

Most people who are enrolled in Medicare decide to get additional coverage to pay for out of pocket health care expenses.


In most of the United States, there are two options available to you as a Medicare beneficiary (eligible or currently enrolled in Medicare) to reduce or eliminate out-of-pocket expenses not covered by Medicare Part A and SECOND.


The options are shown below, and the details of the options below. Contact us for questions or for more information.


Medicare Options Table


You will need more details than this table to compare and choose a policy. For more details or help signing up, contact us or call 415-999-5071


Medicare supplement and prescription drug plan (option 1)

If you had to choose option 1, you would buy a Medicare supplement or a "Medigap" policy from a private insurance company to fill gaps in your Medicare Part A and Part B coverage. In most states there are 10 standardized plans available. The richest plan F covers 100% of your out-of-pocket expenses that result from Medicare-approved benefits. Most likely, you also enroll in Medicare Part D plan, also through a private insurance company.


Prescription Drug Plans (Medicare Part D) Since January 1, 2006, prescription drug plans (Medicare Part D) have been available to all people with Medicare. .


Prescription drug plans:


You can substantially reduce your medication costs

It can vary in cost and covered medications.

Require that you must use the plan's pharmacy network.

Require him to live in the plan's service area.

Administered by private companies.



How much does option 1 cost?

The additional monthly cost of a Medicare Supplement ("Medigap" policy) will vary based on your age, the company and the benefits of the plan you choose. It ranges from a minimum of around $ 140 to a maximum of around $ 300. In addition, the cost of the monthly premium for Medicare Part D (prescription drug plan) ranges from a minimum of $ 15.00 to a maximum of more than $ 90.00 . Therefore, the approximate cost of the monthly premium for option 1 usually ranges from $ 155 to a maximum of approximately $ 390.00 in addition to your monthly Medicare Part B premium (104.90 in 2013) and any co-payment or coinsurance does not cover by the plan you choose