Last updated January 31, 2024
When to use:
For Medicare Savings Programs and LIS/Extra Help, see Financial assistance for people with low to modest income.
Medicare Part A:
Medicare Part A | 2024 |
Deductible (days 1-60) | $1,632/benefit period |
Coinsurance (days 61-90) | $408/day/benefit period |
Lifetime reserve (days 91-150) | $816/day/benefit period |
SNF coinsurance (days 21-100) | $204/day/benefit period |
Premium (29 or less quarters) | $505/month |
Premium (30-39 quarters) | $278/month |
Medicare Part B:
Medicare Part B | 2024 |
Monthly premium* | $174.70 |
Annual deductible | $240 |
Part B-ID Benefit | $103 |
Coinsurance | 20% for most services after deductible is met, except preventive care, which has $0 for most services |
Medicare Part D:
Medicare Part D | 2024 |
Benchmark amount | $42.16 |
Annual standard deductible | $545 |
Initial coverage limit | $5,030 |
Coverage gap (donut hole) |
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Catastrophic coverage | When out-of-pocket spending reaches $8,000 you move to catastrophic coverage. After coverage gap ends, catastrophic coverage begins:
The following count toward Troop (true out of pocket costs):
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Benchmark plans |
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Medigap:
Medigap | 2024 |
Out-of-pocket limit: similar to Plan K | $7,060 |
Out-of-pocket limit: similar to Plan L | $3,530 |
Out-of-pocket limit: similar to Plan High Deductible F | $2,800 |
Medicare Appeals:
Medicare appeals | |
Administrative Law Judge threshold | $180 |
Medicare appeal judicial review | $1,850 |
Medicare therapy |
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Medicare Part B and D monthly adjustment amounts:
*Medicare Part B and D monthly adjustment amounts People with higher incomes pay an additional premium amount called an Income-Related Monthly Adjustment Amount (IRMAA). | |
See Health Care Choices - 2024 edition |
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