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Health & Welfare Plans Newsletter

BULLETIN
November 8, 2024

 

[Official Guidance]

Text of CMS Notice: Medicare Part B Monthly Actuarial Rates, Premium Rates, and Annual Deductible Beginning January 1, 2025

"The monthly actuarial rates for 2025 are $368.10 for aged enrollees and $487.80 for disabled enrollees. The standard monthly Part B premium rate for all enrollees for 2025 is $185.00 ... (The 2025 premium is 5.9 percent or $10.30 higher than the 2024 standard premium rate of $174.70 ...) The Part B deductible for 2025 is $257.00 for all Part B beneficiaries.... Beginning in 2023, certain Medicare enrollees who are 36 months post kidney transplant, and therefore no longer eligible for full Medicare coverage, can elect to continue Part B coverage of immunosuppressive drugs by paying a premium. For 2025, the standard monthly Part B immunosuppressive drug coverage only premium is $110.40."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Official Guidance]

Text of CMS Notice: Medicare Program Calendar Year 2025 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts

12 pages. "For CY 2025, the inpatient hospital deductible will be $1,676. The daily coinsurance amounts for CY 2025 will be as follows: $419 for the 61st through 90th day of hospitalization in a benefit period; $838 for lifetime reserve days; and $209.50 for the 21st through 100th day of extended care services in a skilled nursing facility in a benefit period."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Official Guidance]

Text of CMS Notice: Medicare Program Calendar Year 2025 Part A Premiums for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement

"This premium is paid by enrollees aged 65 and over who are not otherwise eligible for benefits under Medicare Part A and by certain individuals with disabilities who have exhausted other entitlement. The monthly Medicare Part A premium for the 12 months beginning January 1, 2025, for these individuals will be $518. The premium for certain other individuals as described in this notice will be $285."  MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Official Guidance]

CMS Fact Sheet: 2025 Medicare Parts A & B Premiums and Deductibles

"The increase in the 2025 Part B standard premium and deductible is mainly due to projected price changes and assumed utilization increases that are consistent with historical experience.... .... The Medicare Part A inpatient hospital deductible that beneficiaries pay if admitted to the hospital will be $1,676 in 2025, an increase of $44 from $1,632 in 2024.... The 2025 Part D income-related monthly adjustment amounts for high-income beneficiaries are shown[.]"  [BenefitsLink Note: The 2025 Part B total premiums for high-income beneficiaries with full Part B coverage appear to be missing from this Fact Sheet at the time of publication -- but see the Federal Register Notice.]   MORE >>

Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

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BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.

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