TN 2 (10-04)

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

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.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0600601570
HI 00601.570 - Extended Care Coinsurance - 01/02/2018
Batch run: 01/02/2018
Rev:01/02/2018