TN 2 (10-04)

HI 00601.550 Inpatient Hospital Deductible

CITATIONS:

Social Security Act, Section 1813
20 CFR 405.113 through 405.115

The beneficiary is responsible for an inpatient hospital deductible amount before the program begins paying for inpatient hospital services in each benefit period. The Secretary has in the past been required to determine each year the amount of the deductible for the following year. For 1987, however, the amount of the deductible has been set by law at $520. For each year after 1987, the Secretary is required to promulgate the deductible and related coinsurance amounts between September 1 and September 15 of the preceding year.

For inpatient hospital services rendered in years prior to 1982 and after 1986, the applicable inpatient deductible is the one in effect during the calendar year in which the beneficiary's benefit period begins (i.e., in most cases, the year in which the first inpatient hospital services are furnished in the benefit period). For services rendered in 1982 through 1986, the applicable deductible is the one in effect during the year in which the services were furnished. The following chart shows the applicable deductible amounts for benefit periods beginning in each year since 1974:

Year in Which Benefit Period Began

Deductible Amount

2018

$1340.00

2017

$1316.00

2016

$1288

2015

$1260

2014

$1216

2013

$1,184

2012

$1,156

2011

$1,132

2010

$1,100

2009

$1,068

2008

$1,024

2007

$992

2006

$952

2005

$912

2004

$876

2003

$840

2002

$812

2001

$792

2000

$776

1999

$768

1998

$764

1997

$760

1996

$736

1995

$716

1994

$696

1993

$676

1992

$652

1991

$628

1990

$592

1989

$560

1988

$540

1987

$520

1986

$492

1985

$400

1984

$356

1983

$304

1982

$260

1981

$204

1980

$180

1979

$160

1978

$144

1977

$124

1976

$104

1975

$ 92

1974

$ 84

Expenses incurred in one benefit period cannot be applied toward the deductible in a later benefit period. Expenses incurred in meeting the blood deductible do not count toward the inpatient hospital deductible.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0600601550
HI 00601.550 - Inpatient Hospital Deductible - 01/02/2018
Batch run: 01/02/2018
Rev:01/02/2018