New Medicare Fee Schedule and Medicare Advantage Eligibility Rules for 2007
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Issue 32, Winter 2007
Hospital Deductible: $992/benefit period
Hospital Coinsurance:
Days 0-60: $0
Days 61-90: $248/day
Days 91-150: $496/day
Skilled Nursing Facility Coinsurance:
Days 0-20: $0
Days 21-100: $124/day
Part A Premium (for voluntary enrollees only)
With 30-39 quarters of Social Security coverage: $226/month
With 29 or fewer quarters of Social Security coverage: $410/month
Part B
Deductible: $131/year
Standard Premium: $93.50/month (note: beneficiaries with very high
incomes may have to pay higher premiums. See
http://medicareadvocacy.org/Medicare_2007Rates.htm)
Medicare Advantage Eligibility
* Must be enrolled in Medicare Parts A & B;
* Must continue to pay the Part B premium ($93.50 / month in 2007);
* Must live in the plan’s service area;
* Must not have end-stage renal disease (ESRD) at time of enrollment.
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