Elderwerks Senior Resource Directory 2025/2026

MEDICARE / MEDICAID

2025 MEDICARE PREMIUM & CO-PAYS

PART A

Part A Deductible

Per Benefit Period

$1,632.00

Monthly Premium

$505.00 per month

Skilled Nursing Facility Co-Pay

Days 1-20

Medicare pays 100%

Skilled Nursing Facility Co-Pay

Days 21-100

$204.00 per day

Skilled Nursing Facility Co-Pay

Days 101+

You pay all costs

HELPFUL INFORMATION

Hospital Co-Pay

Days 1-60

Medicare pays 100%

Hospital Co-Pay

Days 61-90

$408.00 per day

Hospital Co-Pay

Days 91-150

$816.00 per day

Hospital Co-Pay

After day 150

You pay all costs

Hospice Care Co-Pay

Medicare pays 100%

Hospice Prescriptions - Outpatient

Up to $5.00

Hospice Prescriptions - In-patient Respite

5%

Hospice Care - Room and Board

You pay all costs

Home Health Care

Medicare pays 100%

Home Health Care - Durable Medical Equipment

20%

Beneficiary must be hospitalized under Part A hospital coverage for at least 3 consecutive days for the same illness prior to admission to the Medicare approved SNF.

PART B

Part B Deductible

$240.00 per year

Standard Monthly Premium

$174.70 per month

20% of the Medicare-approved amount for most services

Medical and Other Services

Mental Health Services

20% of the Medicare-approved amount

*Higher income beneficiaries pay higher Part B premiums.

Medicare Claims, Appeals, Drug Plan Information 800-633-4227

Medicare Coordination & Recovery Center 855-798-2627

Illinois Dept. on Aging 800-252-8966

328

(855) 462 0100

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