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What are the Medicare premiums and coinsurance rates for 2006?

The following is a listing of the Medicare premium, deductible, and coinsurance rates that will be in effect in 2006:

Medicare Premiums for 2006:

Part A: (Hospital Insurance) Premium

  • Most people do not pay a monthly Part A premium because they or a spouse has 40 or more quarters of Medicare-covered employment.
  • The Part A premium is $216.00 for people having 30-39 quarters of Medicare-covered employment.
  • The
    Part A premium is $393.00 per month for people who are not otherwise
    eligible for premium-free hospital insurance and have less than 30
    quarters of Medicare-covered employment.

Part B: (Medical Insurance) Premium

$88.50 per month.

Medicare Deductible and Coinsurance Amounts for 2006:

Part A:
(pays for inpatient hospital, skilled nursing facility, and some home health care) For each benefit period Medicare pays all covered costs
except the Medicare Part A deductible (2006 = $952) during the first 60 days and coinsurance amounts for hospital stays that last beyond 60
days and no more than 150 days.

For each benefit period you pay:

  • A total of $952 for a hospital stay of 1-60 days.
  • $238 per day for days 61-90 of a hospital stay.
  • $476 per day for days 91-150 of a hospital stay (Lifetime Reserve Days).
  • All costs for each day beyond 150 days

Skilled Nursing Facility Coinsurance

  • $119.00 per day for days 21 through 100 each benefit period.

Part B:

(covers Medicare eligible physician services, outpatient hospital
services, certain home health services, durable medical equipment)

  • $124.00 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the $124.00 deductible.)

Additional
information about the Medicare premiums, deductibles, and coinsurance
rates for 2006 is available in the September 16, 2005 Fact Sheet
titled, "
Medicare Premiums and Deductibles for 2006" on the www.cms.gov website.

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