2011 Original Medicare Out of Pocket Costs

Medicare Part A (Hospital Coverage)

Deductible – You are responsible for a $1,132 in-patient hospital deductible for each benefit period.  A benefit period ends when you don’t go for treatment for 60 days in a row.  After the 60 days lapses, you are asked to pay another deductible of $1,132 again.  So, this is not a calendar year deductible.

First 60 Days – After the Medicare Part A deductible, Medicare pays all eligible expenses for services from your first through 60th day of hospital confinement.  Services include semiprivate room and board, general nursing, and misc. hospital expenses.

Coinsurance –  You are responsible to pay $283 per day when you are hospitalized from the 61st day through the 90th day.  And, when you are in the hospital from the 91st day though the 150th day, you are responsible for $566 per day.  There are some lifetime reserve days with Original Medicare.  A Florida Medicare Supplement will add an additional 365 lifetime reserve days.

Blood – Original Medicare has one calendar year deductible for blood that is the cost of the first three pints the facility needs to purchase for you.

Skilled Nursing – Original Medicare pays all eligible expenses for this for the first 20 days.

Durable Medical Equipment (crutches, wheelchair, etc.) – You pay 20% coinsurance.

Hospice – You pay 5% coinsurance for respite care.