CMS has released the Medicare and Medicaid numbers for 2015. They are as follows:
Medicaid
- Income Cap[1] $2,199
- Maximum Community Spouse Resource Allowance (CSRA)[2] $119,220
- Minimum CSRA[3] $23,844
- Maximum Minimum Monthly Maintenance Needs Allowance (MMMNA)[4] $2,980.50
- MMMNA (July 1, 2014 until June 30, 2015)[5] $1,966.25
- Excess Shelter Allowance (July 1, 2014 until June 30, 2015)[6] $589.88
- Maximum Resource Limit (Individual)[7] $2,000
- Minimum and Maximum Cap on Equity in the Home[8] $552,000 – $828,000
Medicare
Part A
- Medicare Co-Payment – Skilled Nursing Facility (SNF)[9] $157.50
- Hospital Deductible[10] $1,260
- Per day Co-Insurance – Day 61 -90[11] $315
- Per day Co Insurance – Day 91-150[12] $630
Part A Premium (for voluntary enrollees only)
- With 30-39 quarters of Social Security coverage[13] $234
- With 29 or fewer quarters of Social Security coverage[14] $407
Part B
Medicare Part B – Single or Married and Filing Separate Return
Part B Income-Related Premium[17]
Beneficiaries who file an individual tax return with income: | Beneficiaries who file a joint tax return with income: | Income-related monthly adjustment amount | Total monthly premium amount |
Less than or equal to $85,000 | Less than or equalto $170,000 | $0.00 | $104.90 |
Greater than $85,000 and less than or equal to $107,000 | Greater than $170,000 and less than or equal to $214,000 | $42.00 | $146.90 |
Greater than $107,000 and less than or equal to $160,000 | Greater than $214,000 and less than or equal to $320,000 | $104.90 | $209.80 |
Greater than $160,000 and less than or equal to $214,000 | Greater than $320,000 and less than or equal to $428,000 | $167.80 | $272.70 |
Greater than $214,000 | Greater than $428,000 | $230.80 | $335.70 |
In addition, the monthly premium rates to be paid by beneficiaries who are married, but file a separate return from their spouse and lived with their spouse at some time during the taxable year are:
Beneficiaries who are married but file a separate tax return from their spouse: | Income-related monthly adjustment amount | Total monthly premium amount |
Less than or equal to $85,000 | $0.00 | $104.90 |
Greater than $85,000 and less than or equal to $129,000 | $167.80 | $272.70 |
Greater than $129,000 | $230.80 | $335.70 |
Standard Part D Cost-Sharing for 2013[18]
- Annual Deductible Maximum $320
- Member Pays 25% of the Next $2,640 25% = $660
- Initial Benefit Period Maximum $2,960 ($320 + $2,640)
- Donut Hole Threshold $3,720
- Catastrophic Coverage $4,700 ($320 + $660 + $3,720)
- Catastrophic cost-sharing: Generic $2.65 or 5% (whichever is greater)
- Catastrophic cost-sharing: Brand $6.60 or 5% (whichever is greater)
[1] 42 U.S.C. §1396a(a)(10)(A)(v); 2015 SSI and Spousal Impoverishment Standards, www.medicaid.gov.
[2] 2015 SSI and Spousal Impoverishment Standards, www.medicaid.gov.
[3] 2015 SSI and Spousal Impoverishment Standards, www.medicaid.gov.
[4] 2015 SSI and Spousal Impoverishment Standards, www.medicaid.gov.
[5] 79 Fed. Reg. 3593 (Jan. 22, 2014).
[6] 79 Fed. Reg. 3593 (Jan. 22, 2014).
[7] 20 CFR § 416.1205(c).
[8] 42 U.S.C. §1396p(f); 2015 SSI and Spousal Impoverishment Standards, www.medicaid.gov.
[9]Medicare 2014 & 2015 Costs at a Glance, www.medicare.gov.
[10] Medicare 2014 & 2015 Costs at a Glance, www.medicare.gov.
[11] Medicare 2014 & 2015 Costs at a Glance, www.medicare.gov.
[12] Medicare 2014 & 2015 Costs at a Glance, www.medicare.gov.
[13] Medicare 2014 & 2015 Costs at a Glance, www.medicare.gov.
[14] Medicare 2014 & 2015 Costs at a Glance, www.medicare.gov.
[15] Medicare 2014 & 2015 Costs at a Glance, www.medicare.gov.
[16] Medicare 2014 & 2015 Costs at a Glance, www.medicare.gov.
[17] Medicare 2014 & 2015 Costs at a Glance, www.medicare.gov.
[18] http://www.medicareadvocacy.org.