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CMS Releases 2019 Medicare Parts A & B Premiums and Deductibles, Pinching High-Income Enrollees

On October 12, 2018, the Centers for Medicare & Medicaid Services (CMS) released the 2019 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs.

“CMS is committed to empowering beneficiaries with the information they need to make informed decisions about their healthcare,” said CMS Administrator Seema Verma.

Medicare Part B Premiums/Deductibles

Here’s a look at how the monthly Part B premiums will change, by annual income level:

  • Individuals earning less than $85,000, and couples earning less than $170,000:

    $135.50 in 2019, from $134 this year.

  • Individuals earnings $160,000 to $500,000, and couples earning $320,000 to $750,000:

    $433.40 in 2019, from $428.60 this year.

  • Individuals earning $500,000 or more, and couples earning $750,000 or more:

    $460.50 in 2019, from $428.60 this year.

The annual Medicare Part B deductible will increase 1.1%, to $185.

Medicare Part A Premiums/Deductibles

For the enrollees who do have to pay premiums for Medicare Part A coverage, the full premium will increase 3.6%, to $437 per month.

The Medicare Part A inpatient hospital deductible that beneficiaries will pay when admitted to the hospital will be $1,364 in 2019, an increase of $24 from $1,340 in 2018.

Who do these rate increases actually affect?

Medicare now has about 60 million enrollees of all kinds, according to the CMS Medicare Enrollment Dashboard.

About 21 million are in Medicare Advantage plans and other plans with separate premium-setting processes.

About 38 million are in the traditional Medicare Part A, the Medicare Part B program, or both the Medicare Part A and the Medicare Part B programs. CMS refers to the traditional Medicare Part A-Medicare Part B program as Original Medicare. The rate increases have a direct effect on the Original Medicare enrollees’ costs.

Read CMS's Fact Sheet