2017 Costs at a Glance
Part B Premium Most people pay $134.00 each month.(This amount changes based on MAGI from previous years.)
Part B Deductible $183 per year.
Part A premium Most people don't pay a monthly premium for Part A. For those who purchase Part A, you will pay up to $413 each month.

 

Below are some basic cost and coverage details regarding Medicare.

Medicare Part A (Hospital Insurance)

Hospital inpatient stay

  • $1,316 deductible for each benefit period
  • Days 1–60: $0 coinsurance for each benefit period
  • Days 61–90: $329 coinsurance per day of each benefit period
  • Days 91 and beyond: $658 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)
  • Beyond lifetime reserve days: all costs

Skilled Nursing Facility (SNF) Care

  • Days 1–20: $0 for each benefit period.
  • Days 21–100: $164.50 coinsurance per day of each benefit period
  • Days 101 and beyond: all costs

Medicare Part B (Medical Insurance)

Clinical laboratory services

  • You pay $0 for Medicare-approved services.

Home health services

  • $0 for home health care services.
  • 20% of the Medicare-approved amount for durable medical equipment

Medical and other services

  • You pay 20% of the Medicare-approved amount for most doctor services (including most doctor sevices while you're a hospital inpatient), outpatient therapy, and durable medical equipment.

Outpatient mental health services

  • You pay nothing for your yearly depression screening if your doctor or health care provider accepts assignment.
  • 20% of the Medicare-approved amount for visits to a doctor or other health care provider to diagnose or treat your condition. The Part B deductible applies.
  • If you get your services in a hospital outpatient clinic or hospital outpatient department, you may have to pay an additional copayment or coinsurance amount to the hospital. This amount will vary depending on the service provided, but will be between 20-40% of the Medicare-approved amount.

These costs can be significant. For example, an elderly individual with multiple chronic conditions (e.g., congestive heart failure and Parkinson’s disease) can easily spend thousands of dollars per year on prescription medicines alone. These same individuals may be in and out of the hospital several times each year. If each visit represents a new benefit period, a new deductible is required for each. Deductibles and co-payments on Part B doctor visits can also quickly add up. Even more damaging, a serious illness or accident could put the individual in the hospital for a period in excess of covered days, requiring 100% payment of stratospheric hospital costs.

No sound retirement plan can ignore these potential costs.

Retirees facing this challenge need to think about strategies for funding these excess health care costs after age 65. Strategies for filling gaps between actual health care costs and Medicare coverage include:

  • The purchase of so-called Medigap insurance from private vendors
  • Using Medicare Part C
  • If possible, maintain coverage through an employer-provided health insurance plan
  • For low-income seniors, qualify for state assistance in paying some or all Medicare costs (Medicaid)

Medigap insurance is designed to supplement Medicare’s benefits by filling in some of what Medicare does not cover. A Medigap policy pays for Medicare-approved charges that are not paid by Medicare because of deductibles or coinsurance amounts for which the beneficiary is responsible. The cost of Medigap policies varies widely from plan to plan. Care must be taken in choosing the appropriate plan for a retiree’s individual situation.

To discuss the impact of health care costs on your retirement income plan and the optimal solution for your personal situation, contact a Mainstay Capital Management Retirement Planning Specialist toll-free at 1-866-444-6246.

Sources:

www.medicare.gov

Important Consumer Disclosure

Mainstay Capital Management, LLC is an investment advisor registered with the Securities and Exchange Commission. Due to various state regulations and filing requirements, Mainstay and its representatives may only provide investment advisory services in those states in which it is first appropriately registered or otherwise exempt or excluded from registration requirements. The purpose of this website is to provide the public with general information about the services offered by our investment management firm. Mainstay does not render personalized investment advice or services or effect, or attempt to effect any securities transactions, on this website. Our firm continuously monitors its filing requirements in all states, and will provide individualized advisory services only in accordance with various state regulations. Mainstay does not make any representations or warranties as to the accuracy, completeness, or relevance of any information prepared by any unaffiliated third party provider, whether linked to Mainstay's website or incorporated herein. All such information is provided solely for convenience purposes only and all users thereof should be guided accordingly.