We've been helping people find their perfect Medicare plan for over 10 years.

Does Medicare Have a Deductible?

Among some of the first questions asked by new Medicare enrollees is whether or not Medicare has a deductible. Medicare does in fact have a standardized deductible for Part A and Part B while deductibles for Part C and Part D will vary from one plan to the next.

Medicare Part A Deductible

The Medicare Part A is $1,364 per benefit period in 2019.

While most people new to Medicare are likely accustomed to annual deductibles, the Medicare Part A deductible works slightly differently. Instead of resetting on a yearly basis, the Part A deductible resets at the end of every “benefit period.” A benefit period begins on the first day a patient arrives at a hospital, mental health facility or skilled nursing facility for an inpatient stay. The benefit period then ends when the patient has been out of the facility for 60 consecutive days.

Some of the things that count toward the Part A deductible include:

  • Hospital care
  • Skilled nursing facility care
  • Nursing home care
  • Hospice care
  • Home health services

Once the deductible is met, Medicare Part A recipients will typically be responsible for copayments and coinsurance costs.

Medicare Part B Deductible

The Medicare Part B deductible is far less than that of Part A. For 2019, Part B requires a deductible of $185. And unlike the Part A deductible, Part B’s deductible operates on an annual basis.

Just as with Part A, copayments and coinsurance responsibilities take effect once the Part B deductible has been satisfied.  

Part C and Part D Deductibles

Unlike Part A and Part B, the remaining two parts of Medicare do not come with standardized deductibles.

Medicare Part C is better known as “Medicare Advantage” and is comprised of plans designed to cover everything that is covered under Original Medicare (Medicare Part A and B together). Because Medicare Advantage plans are sold by private insurance companies, any out-of-pocket costs such as premiums, deductibles and copayments may vary from one plan to another.

Medicare Part D consists of plans designed to provide coverage for prescription drugs. Much like Medicare Advantage plans, Medicare Part D plans are sold by private insurers and each company’s plans may have differing deductibles and other costs. 

Paying for Medicare Deductibles

Medicare Supplement Insurance (Medigap) provides full or partial coverage for the Medicare Part A and Part B deductibles. So instead of paying out of pocket to meet a deductible, you can simply pay a premium to belong to an appropriate Medigap plan and the Medigap insurance will cover the cost of that deductible.

Even better, Medigap plans cover more than just the cost of deductibles. Other out-of-pocket expenses such as copayments and coinsurance can also be covered by several Medigap plans.

To learn more about how trading a Medicare deductible for a Medigap premium may benefit you financially, speak with a licensed agent. Compare free quotes for Medicare Supplement Insurance plans online today.

To learn more about Medicare, read through some of the guides below.

———-

Sources:

Medicare.gov: https://www.medicare.gov/your-medicare-costs/costs-at-a-glance/costs-at-glance.html

Medicare.gov: www.medicare.gov/what-medicare-covers/part-a/what-part-a-covers.html

MyMedicareMatters.org: https://www.mymedicarematters.org/costs/part-d

I want to compare Medicare Supplement Plans.

Start Online
Or chat about my options with an agent:--ms-tfn--

Resource Center

Medicare Deductibles and How to Help Pay for Them

Medicare recipients are responsible for deductibles. Find out how much Medicare's deductibles are and how you can reduce your out-of-pocket costs.

Read More

Medicare Copays and Deductibles

Copays are one of the out-of-pocket fees Medicare beneficiaries may be responsible for. Medigap plans can help you can help cover these costs.

Read More

High Deductible Plan F | Medigap

If you want to enroll in Medigap Plan F but think it may be too expensive, consider enrolling in high deductible Plan F.

Read More

Compare Medicare Supplement Insurance Plans

Medicare Supplement Insurance can help pay for certain out-of-pocket health care expenses that come with Original Medicare (Part A and Part B).

Read More

Medicare Supplement Insurance Plan F vs. Medigap Plan N

Medicare Supplement Insurance (Medigap) Plan N is similar to Plan F, except Plan N doesn't cover the Medicare Part B deductible or excess charges.

Read More

Medicare Enrollees: Medigap Plans Could Save You Money

Are you paying too much for health care? If you are enrolled in Original Medicare, a Medigap policy could help cover your deductibles and other costs.

Read More

Guide to Medicare Part B Premiums When You Have Social Security

Some people have their Medicare Part B premiums automatically deducted from their Social Security benefits payments. Learn more about these costs.

Read More

Find a Medicare Supplement Insurance Plan

Medicare Supplement Insurance (Medigap) can help pay for some of Medicare's out-of-pocket costs, including deductibles, copayments and coinsurance.

Read More

How Social Security Affects Your Medicare Part B Premiums

Medicare Part B comes with a monthly premium. If you have your Part B premium deducted from your Social Security benefits payments, you may pay less.

Read More