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November 5, 2018

2019 Medicare Premiums and Deductibles (article)

The Centers for Medicare & Medicaid Services (CMS) announced the 2019 premiums and deductibles for the Medicare Part A and Part B programs.  Following are highlights of the changes.

Medicare Part A - Premium and Deductible

  • Generally, there is no monthly Part A premium for those with 40+ quarters of Medicare-covered employment.  Individuals who have at least 30 quarters of coverage can buy Part A for $240 in 2019; those with less than 30 quarters can buy Part A for $447 per month.
  • Part A deductibles in 2019 will increase to $1,364 for first 60 days of inpatient care; an additional $341 coinsurance per day for 61st through 90th day, and an additional $682 per day coinsurance beyond the 90th day.

Medicare Part B - Premium and Deductible

  • The annual deductible in 2019 will increase to $185, up from $183 in 2018.  The monthly premium will increase to $135.50 for 2019, up from $134 in 2018.  However, the amount of monthly premium is adjusted based on revised income levels, as reflected in the chart below:

Beneficiaries who file
individual tax returns with income:

Beneficiaries who file
joint tax returns with income:

Income-related monthly adjustment amount

Total monthly premium amount

≤ $85,000

≤ $170,000

$0.00

$135.50

> $85,000 and

≤ $107,000

> $170,000 and

≤ $214,000

$54.10

$189.60

> $107,000 and

 ≤ $133,500

>$214,000 and

 ≤ $267,000

$135.40

$270.90

> $133,500 and

 ≤ $160,000

>$267,000 and

 ≤ $320,000

$216.70

$352.20

>$160,000 and <500,000

>$320,000 and <$750,000

$297.90

$433.40

≥ $500,000

≥ $750,000

$325.00

$460.50

 

For high-income beneficiaries who are married and lived with their spouse at any time during the taxable year, but file a separate return, the Medicare Part B premiums in 2019 are:

Amount of Income

Income-related monthly adjustment amount

Total monthly premium amount

≤ $85,000

$0.00

$135.50

> $85,000 and <$415,000

$297.90

$433.40

≥ $415,000

$325.00

$460.50

 

The monthly premium for Medicare Advantage (Part C) and Part D coverage vary by the selected plan.  For 2019, the estimated Medicare Advantage average monthly premium will decline by $1.81 to $28.00 from 2018. The basic Part D premium is also expected to fall from $33.59 in 2018 to $32.50 in 2019.  Additional information about these limits was released earlier this year.

Further details about Medicare’s premium and deductibles is available from Medicare’s 2018 and 2019 Costs at a Glance, and a CMS Fact Sheet

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The information contained in this article is provided as general guidance and may be affected by changes in law or regulation. This article is not intended to replace or substitute for accounting or other professional advice. Please consult a CBIZ professional. This information is provided as-is with no warranties of any kind. CBIZ shall not be liable for any damages whatsoever in connection with its use and assumes no obligation to inform the reader of any changes in laws or other factors that could affect the information contained herein.

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