HI 00601.550 Inpatient Hospital Deductible

The beneficiary is responsible for an inpatient hospital deductible amount before the program begins paying for inpatient hospital services in each benefit period. The Secretary has in the past been required to determine each year the amount of the deductible for the following year. For 1987, however, the amount of the deductible has been set by law at $520. For each year after 1987, the Secretary is required to promulgate the deductible and related coinsurance amounts between September 1 and September 15 of the preceding year.

For inpatient hospital services rendered in years prior to 1982 and after 1986, the applicable inpatient deductible is the one in effect during the calendar year in which the beneficiary's benefit period begins (i.e., in most cases, the year in which the first inpatient hospital services are furnished in the benefit period). For services rendered in 1982 through 1986, the applicable deductible is the one in effect during the year in which the services were furnished. The following chart shows the applicable deductible amounts for benefit periods beginning in each year since 1974:

Year in Which Benefit Period Began Deductible Amount 2020 1408.00 2019 $1364.00 2018 $1340.00 2017 $1316.00 2016 $1288 2015 $1260 2014 $1216 2013 $1,184 2012 $1,156 2011 $1,132 2010 $1,100 2009 $1,068 2008 $1,024 2007 $992 2006 $952 2005 $912 2004 $876 2003 $840 2002 $812 2001 $792 2000 $776 1999 $768 1998 $764 1997 $760 1996 $736 1995 $716 1994 $696 1993 $676 1992 $652 1991 $628 1990 $592 1989 $560 1988 $540 1987 $520 1986 $492 1985 $400 1984 $356 1983 $304 1982 $260 1981 $204 1980 $180 1979 $160 1978 $144 1977 $124 1976 $104 1975 $ 92 1974 $ 84

Expenses incurred in one benefit period cannot be applied toward the deductible in a later benefit period. Expenses incurred in meeting the blood deductible do not count toward the inpatient hospital deductible.