Frequently Asked Questions
What are the Medicare Deductibles and Copays for 2007?

The following is a listing of the Medicare premium, deductible, and coinsurance rates that will be in effect in 2007:

Medicare Premiums for 2007:

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 $226.00 for people having 30-39 quarters of Medicare-covered employment.
  • The Part A premium is $410.00 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
$93.50 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 (2007 = $992) 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 $992 for a hospital stay of 1-60 days.
  • $248 per day for days 61-90 of a hospital stay.
  • $496 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

  • $124.00 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)

  • $131.00 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the $131.00 deductible.)

Additional information about the Medicare premiums, deductibles, and coinsurance rates for 2007 is available in the September 16, 2006 Fact Sheet titled, " Medicare Premiums and Deductibles for 2007 " on the website.

*Note : If your income is above $80,000 (single) or $160,000 (married couple), then your Medicare Part B premium may be higher than $93.50 per month. For additional details, see our FAQ titled: " Medicare Part B Monthly Premiums in 2007 "

2007 Medicare Part B Premium amounts