TN 4 (01-20)
   HI 00601.570 Extended Care Coinsurance
   
   
   
   The beneficiary is responsible for a daily coinsurance amount of one-eighth of the
      inpatient hospital deductible for the 21st through the 100th day of extended care
      services used during each benefit period.
   
   
   Where the actual charge to the patient for the 2lst through the l00th day is less
      than the applicable coinsurance amount, the coinsurance is the actual charge.
   
   
   The following chart shows the extended care coinsurance amounts for benefit periods
      beginning in each year since 1974:
   
   
   
      
         
            
            
         
         
            
            
               
               | 
                   Year in Which Benefit Period Began 
                  
                | 
               
               
                   Coinsurance Amount 
                  
                | 
               
            
         
         
            
            
               
               | 2020 | 
               
               176.00 | 
               
            
            
               
               | 2019 | 
               
               $170.50 | 
               
            
            
               
               | 
                   2018 
                  
                | 
               
               
                   $167.50 
                  
                | 
               
            
            
               
               | 
                   2017 
                  
                | 
               
               
                   $164.50 
                  
                | 
               
            
            
               
               | 
                   2016 
                  
                | 
               
               
                   $161.00 
                  
                | 
               
            
            
               
               | 
                   2015 
                  
                | 
               
               
                   $157.50 
                  
                | 
               
            
            
               
               | 
                   2014 
                  
                | 
               
               
                   $152.00 
                  
                | 
               
            
            
               
               | 
                   2013 
                  
                | 
               
               
                   $148.00 
                  
                | 
               
            
            
               
               | 
                   2012 
                  
                | 
               
               
                   $144.50 
                  
                | 
               
            
            
               
               | 
                   2011 
                  
                | 
               
               
                   $141.50 
                  
                | 
               
            
            
               
               | 
                   2010 
                  
                | 
               
               
                   $137.50 
                  
                | 
               
            
            
               
               | 
                   2009 
                  
                | 
               
               
                   $133.50 
                  
                | 
               
            
            
               
               | 
                   2008 
                  
                | 
               
               
                   $128.00 
                  
                | 
               
            
            
               
               | 
                   2007 
                  
                | 
               
               
                   $124.00 
                  
                | 
               
            
            
               
               | 
                   2006 
                  
                | 
               
               
                   $119.00 
                  
                | 
               
            
            
               
               | 
                   2005 
                  
                | 
               
               
                   $114.00 
                  
                | 
               
            
            
               
               | 
                   2004 
                  
                | 
               
               
                   $109.50 
                  
                | 
               
            
            
               
               | 
                   2003 
                  
                | 
               
               
                   $105.00 
                  
                | 
               
            
            
               
               | 
                   2002 
                  
                | 
               
               
                   $101.50 
                  
                | 
               
            
            
               
               | 
                   2001 
                  
                | 
               
               
                   $99.00 
                  
                | 
               
            
            
               
               | 
                   2000 
                  
                | 
               
               
                   $97.00 
                  
                | 
               
            
            
               
               | 
                   1999 
                  
                | 
               
               
                   $96.00 
                  
                | 
               
            
            
               
               | 
                   1998 
                  
                | 
               
               
                   $95.50 
                  
                | 
               
            
            
               
               | 
                   1997 
                  
                | 
               
               
                   $95.00 
                  
                | 
               
            
            
               
               | 
                   1996 
                  
                | 
               
               
                   $92.00 
                  
                | 
               
            
            
               
               | 
                   1995 
                  
                | 
               
               
                   $89.50 
                  
                | 
               
            
            
               
               | 
                   1994 
                  
                | 
               
               
                   $87.00 
                  
                | 
               
            
            
               
               | 
                   1993 
                  
                | 
               
               
                   $84.50 
                  
                | 
               
            
            
               
               | 
                   1992 
                  
                | 
               
               
                   $81.50 
                  
                | 
               
            
            
               
               | 
                   1991 
                  
                | 
               
               
                   $78.50 
                  
                | 
               
            
            
               
               | 
                   1990 
                  
                | 
               
               
                   $74.00 
                  
                | 
               
            
            
               
               | 
                   1989 
                  
                | 
               
               
                   $0 * 
                  
                | 
               
            
            
               
               | 
                   1988 
                  
                | 
               
               
                   $67.50 
                  
                | 
               
            
            
               
               | 
                   1987 
                  
                | 
               
               
                   $65.00 
                  
                | 
               
            
            
               
               | 
                   1986 
                  
                | 
               
               
                   $61.50 
                  
                | 
               
            
            
               
               | 
                   1985 
                  
                | 
               
               
                   $50.00 
                  
                | 
               
            
            
               
               | 
                   1984 
                  
                | 
               
               
                   $44.50 
                  
                | 
               
            
            
               
               | 
                   1983 
                  
                | 
               
               
                   $38.00 
                  
                | 
               
            
            
               
               | 
                   1982 
                  
                | 
               
               
                   $32.50 
                  
                | 
               
            
            
               
               | 
                   1981 
                  
                | 
               
               
                   $25.50 
                  
                | 
               
            
            
               
               | 
                   1980 
                  
                | 
               
               
                   $22.50 
                  
                | 
               
            
            
               
               | 
                   1979 
                  
                | 
               
               
                   $20.00 
                  
                | 
               
            
            
               
               | 
                   1978 
                  
                | 
               
               
                   $18.00 
                  
                | 
               
            
            
               
               | 
                   1977 
                  
                | 
               
               
                   $15.50 
                  
                | 
               
            
            
               
               | 
                   1976 
                  
                | 
               
               
                   $13.00 
                  
                | 
               
            
            
               
               | 
                   1975 
                  
                | 
               
               
                   $11.50 
                  
                | 
               
            
            
               
               | 
                   1974 
                  
                | 
               
               
                   $10.50 
                  
                | 
               
            
         
      
    
   *Under Catastrophic Coverage, a coinsurance payment of $25.50 was due for days 1 –
      8 of SNF care. No SNF coinsurance was due after day 8 in 1989.