TN 4 (01-20)
HI 00601.550 Inpatient Hospital Deductible
Social Security Act, Section
1813
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
|
2020 |
1408.00 |
2019 |
$1364.00 |
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.