Friday, December 1, 2017

Changes to Medicare Part A and B for 2018

Dec 1, 2017

The Centers for Medicare and Medicaid Services have announced the changes to Medicare Parts A and B for 2018. Each year, Medicare costs are reexamined to determine if changes need to be made to deductibles, co-pays and out-of-pocket maximums.

SHIIP, the Seniors’ Health Insurance Information Program, is available to Medicare beneficiaries, their families and caregivers to help them understand how the coming changes will affect their coverage in 2018.

Part B – Medical Insurance

The standard Part B premium amount in 2018 will remain at $134 (or higher depending on your income). Some beneficiaries who were held harmless against Part B premium increases in prior years will have a Part B premium increase in 2018, but the premium increase will be offset by the increase in their Social Security benefits next year.

The Part B deductible will remain at $183 in 2018.

Part A – Hospital Insurance

Hospitalization costs for Medicare beneficiaries will increase slightly in 2018.

Hospitalization Costs 2017 2018
First 60 days $1,316 deductible $1,340 deductible
Days 61-90 $329 per day $335 per day
Days 91-150 $658 per day $670 per day

Medicare will continue to pay 100 percent of approved costs for the first 20 days of Post-Hospital Skilled Nursing Facility Care. For Skilled Nursing Care between 21 and 100 days, the charge per day is $167.50 for 2018, an increase from the 2017 charge of $164.50.

The premium for Medicare Part A will continue to be $0 for eligible beneficiaries. For those ineligible, the premium for Part A increased to $422 per month for those who worked fewer than 30 quarters, and $232 per month for those who worked between 30 and 40 quarters.

Medicare Supplement Plans

The Standardized Medicare Supplement Plans in 2018 will increase for the out-of-pocket limit for Plan K at $5,240, and the out-of-pocket limit for Plan L at $2,620. The deductible for the Plan F Prime is increasing to $2,240.

SHIIP, a division of the North Carolina Department of Insurance, can help answer any questions about Medicare costs and coverage over the phone or in person. Trained SHIIP counselors are available for free, unbiased counseling appointments in all 100 North Carolina counties. For more information, contact SHIIP at 1-855-408-1212 or visit

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