Medicare Policies

We bill Medicare for inpatient and outpatient services Supplemental insurance will also be billed. Patients are responsible for any charges not covered by Medicare and/or supplemental insurance.

Medicare Deductible and Coinsurance Amounts for 2021:

Part A Inpatient Deductible: (pays for inpatient hospital, skilled nursing facility, and some home health care)

For each benefit period Medicare pays all covered costs except the Medicare Part A deductible (2021 = $1,484) during the first 60 days and coinsurance amounts for hospital stays that last beyond 60 days and no more than 150 days. For each benefit period you pay:

  • Days 1 - 60 $1,484.00
  • Days 61 - 90 $371.00 per day
  • Days 91 - 150 $742.00 per day (Lifetime Reserve Days)
  • All costs for each day beyond 150 days

Note: You have 60 Lifetime Reserve Days available at day 91

Part B Outpatient Deductible: (covers Medicare eligible physician services, outpatient hospital services, certain home health services, durable medical equipment)

  • $203.00 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the $203.00 deductible.)

Skilled Nursing Facility Co-insurance

  • Days 1 - 20 Medicare Covers
  • Days 21 - 100 $185.50.00 per day

In addition to your deductible, you may be liable for co-insurance.

Additional information regarding Medicare can be found on the Medicare Frequently Asked Questions page.