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Medicare Deductible / Coinsurance Lookup

Covered Medicare services may be subject to deductible and coinsurance amounts that apply for the calendar year.

  • When a Medicare beneficiary is admitted for a covered Part A inpatient stay, Medicare subtracts the inpatient deductible amount from the amount payable to the facility for inpatient services it provides in a spell of illness. If a beneficiary receives covered Part A services for more than 60 days during a spell of illness, he/she is responsible for a daily coinsurance amount.
  • Medicare beneficiaries who enroll and receive covered Part B services are responsible for an annual deductible and coinsurance amount.

Select a year from the drop-down menu below to view the deductible and coinsurance amounts applicable for that calendar year.

To determine if your patient's services are subject to deductible/coinsurance, verify the beneficiary's eligibility in the myCGS portal or HIPAA Eligibility Transaction System (HETS)External Website.

Select the Year:


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