In addition to the monthly premium that you pay for Medicare Part B – as well as for Part A for some enrollees – there are also certain copays that are required by Medicare for services that are received. The amount of the copay may differ, based on the type of service that is being received, as well as which part of Medicare covers it.
Medicare Part A Copays
Medicare Part A covers hospital care, along with some skilled nursing facility, home health services, and hospice care. In 2015, Part A requires a deductible of $1,260 for each benefit period.
Medicare Part A also requires hospitalization co-insurance of:
For skilled nursing facility care, Medicare enrollees are required to pay the following costs (in 2015):
In most cases, there are $0 charges for home health care services to Medicare enrollees – other than a 20% charge for the Medicare-approved amount for durable medical equipment that is needed.
Typically, Medicare participants are also not required to pay any out-of-pocket costs for hospice care – except for $5 for each prescription drug and other similar products that are used for symptom control and pain relief while they are at home.
However, it may be required that an enrollee pay 5% of the Medicare-approved charges for inpatient respite care. Respite care refers to when a patient requires care in an inpatient facility temporarily because his or her in-home caregiver is taking a break.
Medicare Part B Copays
Medicare Part B covers a variety of services – and because of this, there may be different out-of-pocket charges required. These may include the following:
Medicare Parts C and D
Medicare Part C (Medicare Advantage) and Part D (prescription drug coverage) are both offered via private insurance companies. Because of that, the coverage and the corresponding co-payment that is required may differ significantly, depending on the plan that you choose.