Sunday, October 25, 2020

IBM Medicare Via Benefits Medicare Hospital cost data for 2021

 In 2019 I wrote a blog post about the significant difference in cost for a hospital stay coverage for Original Medicare with an "N" Medicare Supplement insurance policy, and a Medicare Advantage (MA) plan with a $0 premium, but an out of pocket maximum cost (MOOP). 

MA plans are significantly more expensive if you need a lengthy hospital stay. It also is expensive if you are unlucky and have several hospital stays 60 days apart. I updated the table comparison for 2021 since that MA MOOP number has significantly increased.  The original post explains more about the table and was written  September 21, 2019: http://ibmmedicare.blogspot.com/2019/  

The table update for 2021. The average premium of an "N" plan is about the same in 2021. The highest premium for an N plan (which is NYC) is about $200/mo:

Phase

Original Medicare + 

Medigap N at $150/mo

 

Sample (actual) 2021 Medicare Advantage plan

$0 premium

  

Hospital Benefit Period (Every 60 days)

$1452 deductible

Paid by Medigap N plan

 No deductible

Hospital Days copays Every Benefit Period

$0 days 1-60

 $363 days 61-90 

$726 for 60 lifetime days

All copays paid by Medigap N


$400 days 1-5

$0 days 5-90

$? lifetime days (not described in planfinder)

If exceed 150 days in hospital

All Medigaps provide this extra benefit of 365 addition lifetime days with $0 copay

No Medicare Advantage plans have this benefit 

Patient pays all hospital costs after 150 days 


Maximum hospital stay cost for 2021

 $1800 for 2021

(Medigap premium $150 x 12)

 

$7,550 for 2021

(if within 150 day limit)


 

   


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