Medicare Premiums, Deductibles, and Copays Change for 2015

Here are the new numbers for Medicare premiums, deductibles, and copays for 2015.

Part A Costs

Most people don't pay a monthly premium for Medicare Part A (hospital insurance). But if you have to pay for Part A because you or your spouse doesn’t have a long enough work history, you'll pay between $204 (for 30-39 work credits) and $407 (for fewer than 30 work credits).

In 2015, you’ll also pay a $1,260 deductible for each benefit period in which you use hospital or skilled nursing inpatient care, in addition to the following copays.

  • Hospital days 61-90: $315 coinsurance per day of each benefit period
  • Hospital days 91 and beyond: $630 coinsurance per each lifetime reserve day for each benefit period
  • Skilled nursing days 21-100: $157.50 coinsurance per day of each benefit period.

Part B Costs

Most people pay a Part B premium of $104.90 each month (unchanged from 2014). However, if your adjusted gross income is over $85,000 (or $170,000 for a couple), the monthly premium is higher, but these high-income premiums have not changed from 2014.

The Part B deductible for 2015 is $147 per year (unchanged from 2014).

There are also caps on the following Part B services for 2015:

  • Cap on outpatient physical therapy and speech-language pathology combined: $1,940
  • Cap on occupational therapy: $1,940.

Part D Costs

Part D premiums vary depending on the plan you choose. The Part D deductible for 2015 is $320 per year (though some plans waive the deductible).

In 2015, the “donut hole” begins $2,960 and ends at $4,700. However, in 2015, while you are in the donut hole, brand-name drugs must be sold to you at a 55% discount and generic drugs at a 35% discount.

There are subsidies available to pay for Part D for those with low income (called Extra Help). See Nolo’s article on Extra Help for Part D for eligibility numbers for 2015.