The deductible for Medicare Part A, which is hospital insurance, is $1,260 per benefit period. A benefit period begins on the day an individual enters a hospital or skilled nursing facility, and it ends when he has not received care in one of those facilities for 60 days.Continue Reading
In addition to the deductible, the patient is also responsible for coinsurance in some cases. For the first 60 days of a benefit period during which a patient is hospitalized, there is no coinsurance. For days 61 through 90, there is a $315 per day coinsurance charge. After 90 days of hospital care, a patient has 60 lifetime reserve days for which the coinsurance is $630 per day. After the lifetime reserve days have been exhausted, the patient is responsible for all costs during the benefit period in question.
When staying at a skilled nursing facility, a patient pays no coinsurance for days one through 20 of a benefit period. For days 21 through 100, he pays $157.50 per day. He is responsible for all costs beginning on day 101.
The deductible for Medicare Part B, which covers medical services, is $147 per year. After satisfying the deductible, the patient is responsible for paying 20 percent of the Medicare-approved costs for doctor services, outpatient therapy and durable goods. The patient pays no coinsurance for clinical laboratory services.Learn more about Health Insurance