Medicare Deductibles and Co-Payments

MEDICARE DEDUCTIBLES AND CO-PAYMENTS

PART A	2007	2006
Hospital -
Maximum Covered Days	150/spell of illness
Deductible/spell of illness	$992	$952
Co-Payment, days 61-90	$248	$238
Co-Payment
60 Lifetime Reserve Days	$496	$476

Nursing Home -
Maximum Covered Days	100/spell of illness
Co-Payment days 1-20	$0	$0
Co-Payment days 21-100	$124	$119

Home Health Care (Part A & B combined) -
Maximum Covered Visits	Unlimited
Deductible & Co-Payments	0	0

Hospice -
Maximum Covered Days	Unlimited	Unlimited
Deductible	0	0
Co-Payment	Lesser of $5 or 5% per prescription	5% of respite care payment
Part A Premium for uninsured individuals	$410/month	$393/month
Reduced Premium for individuals with at least 30 quarters of coverage	$226/month	$216/month

Annual Deductable	$131	$124
Monthly Premium	$93.50	$88.50
Premium surcharge	based on income	N/A
Payment - % of reasonable charges	80%	80%

NOTE: The NY Public Health Law “limiting charge” for non-participating physicians is 105% of Medicare's Physicians Fee Schedule.