coinsurance and deductible

• Medicare Program; Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts for CY 2013

This notice announces the inpatient hospital deductible and the hospital and extended care services coinsurance amounts for services furnished in calendar year (CY) 2013 under Medicare's Hospital Insurance Program (Medicare Part A). The Medicare statute specifies the formulae used to determine these amounts. For CY 2013, the inpatient hospital deductible will be $1,184. The daily coinsurance amounts for CY 2013 will be: $296 for the 61st through 90th day of hospitalization in a benefit period; $592 for lifetime reserve days; and $148 for the 21st through 100th day of extended care services in a skilled nursing facility in a benefit period.

• Federal Register Nbr. 77 FR 69848, November 21, 2012
• Notices
• Health and Human Services Department

• 42 CFR 409.80 - Inpatient deductible and coinsurance: General provisions.

• Code of Federal Regulations - Title 42: Public Health

• 42 CFR 417.458 - Recoupment of uncollected deductible and coinsurance amounts.

• Code of Federal Regulations - Title 42: Public Health

• Academy of Managed Care Pharmacy (Amcp) Helps Explain Health Care Law's Contraception Coverage Provision

ALEXANDRIA, Va., Aug. 13, 2012 /PRNewswire-USNewswire/ -- Millions of Americans are now able to obtain their birth control products at no out-of-pocket costs under a provision in the Affordable Care Act (ACA) that requires employers and insurers to offer contraceptive coverage and certain other preventive health services with no patient copayment, coinsurance or deductible. Government rules, however, may allow for some restrictions on which birth control products can be obtained, including condoms and brand name contraceptives, according to the Academy of Managed Care Pharmacy (AMCP). The contraceptive-coverage provision, which started Aug. 1, will take effect for individual policy holders as their health benefits renew over the next 12 months.

• U.S. Newswire
• August 13, 2012

• 42 CFR 405.2410 - Application of Part B deductible and coinsurance.

• Code of Federal Regulations - Title 42: Public Health

• 42 CFR 409.89 - Exemption of kidney donors from deductible and coinsurance requirements.

• Code of Federal Regulations - Title 42: Public Health

• Everything Is Rationed

As the debate about health care reform sharpens, we will hear more and more about "rationing." Sally C. Pipes, a California researcher who has fought the Canadian plan, the Clinton plan and the Massachusetts plan, opened her attack on the current plan with a piece in The Wall Street Journal headlined "Obama Will Ration Your Health Care. This scare tactic usually raises the specter of faceless, unelected bureaucrats who will tell us what therapies or procedures or drugs we can have. But our health care already is rationed - by cost, by shortages, by waiting time, and, yes, by another corps of faceless, unelected bureaucrats, the insurance industry's specialists in protecting its profits by rejecting people with prior illnesses and slapping hefty deductible and coinsurance fees on those ...

• Bangor Daily News
• July 16, 2009

• Medicare Program: Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts (for Calendar Year 2010)

• FR, October 22, 2009
• Notices
• Centers for Medicare & Medicaid Services

• Medicare Program: Inpatient Hospital Deductible and Hospital and Extended CareServices Coinsurance Amounts for Calendar Year (2009)

• FR, September 24, 2008
• Notices
• Centers for Medicare & Medicaid Services

• Medicare: Inpatient hospital deductible and hospital and extended care services coinsurance amounts (2008 CY),

• FR, October 05, 2007
• Notices
• Centers for Medicare & Medicaid Services