State Mutual Insurance

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Out of Pocket Medicare Costs

As the costs not covered by Medicare continue to rise, it’s important to choose insurance to help pay these costs. This chart shows the out-of-pocket costs associated with Original Medicare.

Medicare Part A: Inpatient Hospital

Feature	Medicare Pays	You Pay
Deductible	Nothing	$1,132
First 60 Days	100%	$0
Coinsurance 61-90 days	All but $283 a day	$283 a day
Coinsurance 91-150 days	All but $566 a day	$566 a day
Coinsurance 151+ days	Nothing	Eligible Expenses
Blood	All but three pints	Three pints
Skilled Nursing Facility Care First 20 Days	100%	$0
Coinsurance 21-100 days	All but $141.50 a day	$141.50 a day
Coinsurance 101 days and after	Nothing	All

Medicare Part B: Supplemental Medical Coverage

Feature	Medicare Pays	You Pay
Deductible	Nothing	$162
Coinsurancee	Generally 80% of Medicare approved expenses	Generally 20% of Medicare approved expenses
Excess Benefits	Nothing	All
Blood	All but three pints	Three pints

Additional Benefit

Feature	Medicare Pays	You Pay
Emergency Care Received Outside the U.S.	Nothing	All costs

NEITHER STATE MUTUAL INSURANCE COMPANY NOR ITS MEDICARE SUPPLEMENT INSURANCE POLICIES ARE CONNECTED WITH OR ENDORSED BY THE U.S. GOVERNMENT AND A LICENSED AGENT MAY CONTACT YOU.

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