PHP, Florida

Robert Heglar
AHF Provider

Premium, Maximum Out-of-Pocket Costs, Deductible

Changes to Your Monthly Premium
Cost

2018 (this year)

2019 (next year)

Monthly premium

(You must continue to pay your Medicare Part B premium.)

$0 $0

 

  • Your monthly plan premium will be more if you are required to pay a lifetime Part D late enrollment penalty for going without other drug coverage that is at least as good as Medicare drug coverage (also referred to as “creditable coverage”) for 63 days or more.
  • If you have a higher income, you may have to pay an additional amount each month directly to the government for your Medicare prescription drug coverage.

 

Maximum Out-of-Pocket

To protect you, Medicare requires all health plans to limit how much you pay “out-of-pocket” during the year. This limit is called the “maximum out-of-pocket amount.” Once you reach the maximum out-of-pocket amount, you generally pay nothing for covered Part A and Part B services for the rest of the year.

Cost 2018 (this year) 2019 (next year)
Maximum out-of-pocket amount

Your costs for covered medical services (such as copays) count toward your maximum out-of-pocket amount. Your costs for prescription drugs do not count toward your maximum out-of-pocket amount.

$5,000

$5,000

Once you have paid $5,000 out-of-pocket for covered Part A and Part B services, you will pay nothing for your covered Part A and Part B services for the rest of the calendar year.

 

Part D Deductible
Cost 2018 (this year) 2019 (next year)
Part D prescription drug deductible $405 $415

H3132_4006 2019 101518