Original Medicare
Medicare Part A – hospital coverage
What it covers:
- Hospital care
- Skilled nursing facility care
- Nursing home care (as long as that isn't the only care you need)
- Hospice care
- Home healthcare
What it costs:
Most people don't pay a monthly premium for Medicare Part A, if they worked and paid Medicare taxes. However, there are costs you may have to deal with.
Other Part A costs in 2021:1
- There is an annual deductible of $1,484 for inpatient hospital stays.
- There is a $371 per day coinsurance payment for inpatient hospital stays for days 61 to 90.
- After day 91, there is a $741 daily coinsurance payment for each lifetime reserve day used.
- After the maximum 60 lifetime reserve days are exhausted, there is no more coverage under Part A for inpatient hospital stays.
- There is a 20% copay for Medicare-approved durable medical equipment (DME).
- Medicare does not cover any room and board costs for hospice care in your home or in a nursing home if that is where you live.
- There is a $185.50 coinsurance payment for days 21 to 100 for a skilled nursing facility stay.2
- After day 100, you are responsible for all costs.
- There is a 20% copay for mental health services connected with a hospital stay.
Medicare Part B – medical coverage
What it covers:
- Medically necessary doctor services
- Outpatient care
- Chiropractic care
- Home health services
- DME
- Many preventive services
What it costs:3
- Most Medicare and Medicare Advantage 2021 plan members must pay a monthly premium of $148.50 or higher depending on your income.
- If you don't enroll in Medicare Part B as soon as you are eligible, you could be assessed a late enrollment penalty when you do enroll.
- The penalty could be as high as a 10% increase in your premium for each 12-month period that you were eligible but not enrolled.
- If you earn over $85,000 ($170,000 for joint filers), you’ll pay a higher monthly premium for Part B.
Other Part B costs:
- There is a $203 annual deductible for Medicare Part B in 2021.
- After the deductible, you’ll pay a 20% copay for most doctor services while hospitalized, as well as for DME and outpatient therapy.
- There is a 20% copay of the Medicare-approved amount for doctor visits to diagnose a mental health condition after the deductible.
- If you receive these services at a hospital outpatient department or clinic, additional copays or coinsurance amounts may apply.
- There is a 20% copay of the Medicare-approved amount for outpatient services, after the deductible.
Medicare Advantage
What it covers:
- Medicare Advantage plans are required by law to provide—at minimum—the same coverage, benefits and rights provided by Original Medicare Part A and Part B, with the exception of hospice care.
- Many Medicare Advantage plans also offer:
- Prescription drug coverage
- Dental, vision and hearing benefits
What it costs:
- Plans vary in cost, coverage, deductibles and copays.
- Many Medicare Advantage plans offer affordable or $0 dollar premiums plus a variety of additional benefits over Original Medicare.
Medicare Advantage plans include:
- Health maintenance organization (HMO) plans
- Preferred provider organization (PPO) plans
- HMO point of service (HMO POS) plans
- Private-fee-for-service (PFFS) plans
- Special Needs Plans (SNPs)
See costs and coverage for Humana Medicare Advantage plans
Medicare Part D
What it covers:
- Medicare Part D covers prescriptions drugs.
What it costs:
- Premiums, covered drugs, deductibles, coinsurance and copays will vary by plan.
- There’s a late enrollment penalty if you don’t enroll in an approved Medicare drug plan (including a Medicare Advantage plan) when you’re first eligible or have other credible prescription drug coverage.
- If you earn over $88,000 ($176,000 for joint filers), you’ll pay a higher monthly premium.
See costs and coverage for Humana prescription drug plans
Medicare Supplement plans
What it covers:
- Offered by private companies, Medicare Supplement insurance plans help offset some Original Medicare out-of-pocket costs.
- These plans can only be paired with Original Medicare; they cannot be added to a Medicare Advantage plan.
What it costs:
See costs and coverage for Humana Medicare Supplement insurance plans
