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Insurance Commissioner & Department of Insurance

2010 Medicare Premiums, Deductibles and Co-insurance

Most Part B enrollees will pay the same monthly premium that they paid in 2009 ($96.40 was the 2009 standard monthly premium). 

Approximately 27 percent of beneficiaries are not subject to the hold-harmless provision because they are new enrollees during the year, they are subject to the income-related additional premium amount, they do not have their Part B premiums withheld from social security benefit payments including those who qualify for both Medicare and Medicaid and have their Part B premiums paid on their behalf by Medicaid.

The monthly premium paid by beneficiaries enrolled in Medicare Part B, which covers physician services, outpatient hospital services, durable medical equipment and other items will be $110.50 in 2010. For Medicare Part A, which pays for inpatient hospital, skilled nursing facility, and some home health care, the deductible paid by the beneficiary when admitted as a hospital inpatient will be $1,100 in 2010. The Part A deductible is the beneficiary's only cost for up to 60 days of Medicare-covered inpatient hospital care in a benefit period. Beneficiaries must pay an additional $275 per day for days 61-90, and $550 per day for hospital stays beyond the 90th day in a benefit period (lifetime non-renewable days) in 2010. Daily coinsurance for the 21st through 100th day in a skilled nursing facility will be $137.50 in 2010. In 2010, the Part B deductible will be $155.00.

The 2010 Part B monthly premium rates to be paid by beneficiaries who file an individual tax return (including those who are single, head of household, qualifying widow(er) with dependent child, or married filing separately who lived apart from their spouse for the entire taxable year), or who file a joint tax return are:
                                                                                             


Beneficiaries who file an individual tax return with income:

Beneficiaries who file a joint tax return with income:

Total monthly premium amount


Less than  or equal to $85,000

Less than or equal to $170,000

$110.50

Greater than $85,000 and less than or equal to $107,000

Greater than $170,000 and less than or equal to $214,000

$154.70


Greater than $107,000 and less than or equal to $160,000

Greater than $214,000 and less than or equal to $320,000

$221.00


Greater than $160,000 and less than or equal to $214,000

Greater than $320,000 and less than or equal to $428,000

$287.30


Greater than $214,000

Greater than $428,000

$353.60

In addition, the monthly premium rates to be paid by beneficiaries who are married, but file a separate return from their spouse and lived with their spouse at any time during the taxable year are:

Beneficiaries who are married but file a separate tax return from their spouse:

Total monthly premium amount

Less than or equal to $85,000

$110.50

Greater than $85,000 and less than or equal to $129,000

$287.30

Greater than $129,000

$353.60

 

 

 


Last Updated: Friday, 11-Jun-2010 16:28:54 EDT
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