2023 Medicare Parts A and B Cost Sharing Amounts

The Centers for Medicare and Medicaid Services (CMS) released the 2023 premiums, deductibles and coinsurance amounts for Medicare Part A and Part B.  While cost sharing for Medicare Part A services will increase in 2023, cost sharing for Medicare Part B services will decrease. 

Medicare Part A covers inpatient hospital, skilled nursing facility, hospice, inpatient rehabilitation and some home health care services.  The inpatient hospital deductible covers the first 60 days of Medicare-covered inpatient hospital care and will increase from $1,556 in 2022 to $1,600 in 2023.  For the 61st through 90th day of a hospitalization, the coinsurance amount will increase from $389 per day in 2022 to $400 per day in 2023.  After the 90th day, lifetime reserve days may be used after paying a coinsurance amount of $800 per day, which is an increase from the 2022 amount of $778 per day.  The daily coinsurance for days 21 through 100 of extended care services in a skilled nursing facility will increase from $194.50 per day in 2022 to $200 per day in 2023.

Medicare Part B covers physician services, outpatient hospital services, some home health services, durable medical equipment and other medical services not covered by Medicare Part A.  The standard monthly premium for Medicare Part B coverage will decrease from the 2022 amount of $170.10 to $164.90 in 2023.  The annual deductible for Part B beneficiaries will decrease from $233 in 2022 to $226 in 2023.

Plans that reimburse Medicare-eligible retirees through a Medicare Supplemental benefit will need to make the necessary decisions and adjustments to the plan of benefits to incorporate these changes to Part A and Part B cost sharing amounts.

CMS Website: https://www.cms.gov/newsroom/fact-sheets/2023-medicare-parts-b-premiums-and-deductibles-2023-medicare-part-d-income-related-monthly