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New Medicare Fee Schedule and Medicare Advantage Eligibility Rules for 2007

MPLP Winter 2007 Elder Law Section Newsletter Article

                Issue 32, Winter 2007

 New Medicare Fee Schedule and Medicare Advantage Eligibility Rules for 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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