What You Will Pay For Medicare In 2021

What You Will Pay For Medicare In 2021 by Daniel Vujinovic

What You Will Pay For Medicare In 2021

2021 will start with a few changes to Medicare that both new enrollees and existing beneficiaries will need to know about. In order to get the most from your plan, you need to know your out-of-pocket costs, which will vary depending on the type of plan you have. Here is a breakdown of what you can expect in 2021.

If you are new to Medicare or you have been a beneficiary for a while, it’s always good to freshen up your knowledge. 

Medicare Part A Premium 2021

Part A helps pay for bills that you receive if you are admitted into a hospital as a patient. Most people will not have a monthly premium for Part A. If you have worked and paid taxes in the US for at least 10 years and you are legal, your monthly payment most likely will be $0

Even if your monthly premium is $0, you will have a deductible that you will have to pay. In 2021 the amount is $1448. That means when you are admitted into a hospital, you have to pay $1448. Once you have paid it, all your approved bills will be paid by Medicare for a period of 60 days

If you return to the hospital within this 60 day period, you will not have to pay this deductible again. But if you are admitted after the 60 days have passed, you will have to pay this deductible again. In the worst-case scenario, you can pay this up to six times per year. 

Medicare Part B Premium 2021

Part B, which covers doctor visits and outpatient services and will cost you a standard monthly premium of $148.50, up from $144.60 in 2020.

If you make more then what the average person does, you’ll probably also pay more for Part B. This will be based on your adjusted gross income from two years earlier. In 2020, beneficiaries with 2018 AGI of more than $87,000 ($174,000 for married couples filing jointly) paid $202.40 to $491.60 per month for Part B. Surcharges in 2021 for people with 2019 AGIs of more than $88,000 (more than $176,000 for married couples filing jointly) will rise slightly to between $207.90 and $504.90 per month. This usually only affects around 7% of all Medicare beneficiaries. 

Part B Deductible Increase

The annual deductible for all Medicare Part B beneficiaries is $203 in 2021, an increase of $5 from the annual deductible of $198 in 2020. What kept the increases in the Part B premiums and the deductible in check this year is in part of the short-term budget bill in October, Congress capped the increases. Yet Medicare spending is expected to grow in 2021 as people seek care they may have delayed due to Covid-19, CMS says.

Part D Changes for 2021

The Center for Medicare & Medicaid Services announced premium and cost-sharing information for Medicare pART d prescription drug plans for 2021. The average premium for Part D, which helps you cover drug costs, will be $30.50 a month in 2021

Among other program changes, more than 1,600 Medicare Advantage and Part D drug plans will offer insulin for a monthly copy of $35 or less under the new Part D Senior Savings Model which was pushed by President Donald J. Trump

Medicare beneficiaries with high drug costs may run into a coverage gap (also called the “donut hole“). For 2021, the gap begins when the total your plan has paid reaches $4,130, up from $4,020 in 2020. At that point, you’ll receive a 75% discount on brand-name and generic drugs. Drug manufacturers will pick up 70% of the tab, insurers will pay 5% and you’ll pay 25%

Once your out-of-pocket spending hits $6,550 (including whatever drug manufacturers paid on your behalf in the coverage gap), Medicare picks up most of the cost. You will only have to pay a small co-pay until the end of the year. 

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If you live in Pasco, Hernando, Citrus, Pinellas, Hillsborough, Polk or Sumter counties, you can schedule an in-person appointment with me to discuss your Medicare options. Give me a call at 813-842-1421 or Click Here or the picture below to schedule an appointment on our website. Thank you 

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