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March 27, 2018

Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More

Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More

OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More

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CMS Releases 2009 Medicare Deductibles

November 25, 2008:

The changes to the Medicare deductible and coinsurance amounts for next year are not as significant as they have been in past years.

Patients who use covered Part A services may be subject to deductible and coinsurance requirements. Patients are responsible for an inpatient hospital deductible amount, which is deducted from the amount payable by the Medicare program to the hospital. When a beneficiary receives such services for more than 60 days during a spell of illness, the coinsurance amount is equal to one-fourth of the inpatient hospital deductible per day for the 61st through the 90th day spent in the hospital. Patients have 60 lifetime reserve days of coverage, which can be used after the 90th day in a spell of illness. The coinsurance amount for these days is equal to one-half of the inpatient hospital deductible.

Patients who are covered under Part B also are subject to an annual deductible. The deductible and coinsurance amounts for 2009 are indicated below.

2009 Part A—Hospital Insurance (HI)
Deductible $1,068.00
Coinsurance $267.00 a day for 61st–90th day
$534.00 a day for 91st–150th day (lifetime reserve days)
$133.50 a day for 21st–100th day (skilled nursing facility coinsurance)

2009 Part B–Supplementary Medical Insurance (SMI)
Standard Premium $96.40 a month (unchanged from 2008)
Deductible $135.00 a year (unchanged from 2008)
Coinsurance 20 percent

Deborah C. Hall
Clinical/Technical Editor


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