Hospital Deductible:

$1024 / benefit period

Hospital Coinsurance:


Days 0-60: $0

Days 61-90: $256 / day

Days 91-150: $512 / day

Skilled Nursing Facility Coinsurance


Days 0-20: $0

Days 21-100: $128 / day

Part A Premium (for voluntary enrollees only):

Base Premium (BP): $423 / month

Base Premium with 10% Surcharge: $465.30 / month

Base Premium with 45% Reduction: $233.00 / month (for those who have 30-39 quarters of coverage)

Base premium with 45% Reduction and 10% surcharge: $256.30 / month

Part B:

Deductible: $135 / year

  • Standard Premium: $96.40 / month