POMS Reference

This change was made on Jan 2, 2018. See latest version.
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HI 00601.570: Extended Care Coinsurance

changes
*
  • Effective Dates: 11/21/2016 - Present
  • Effective Dates: 01/02/2018 - Present
  • 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
  • $164.00
  • $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.