---
id: "epm:C"
source: "Minnesota Health Care Programs Eligibility Policy Manual"
source_short: "EPM"
publisher: "Minnesota Department of Human Services"
section: "C"
title: "Appendix C Medicare Cost Sharing Amounts"
breadcrumb: "C Appendix C Medicare Cost Sharing Amounts"
effective_date: 2026-03-16
last_modified: 2026-10-03T04:45:28.448897+00:00
version: 2
url: "https://bot-corpus.mn-dhs.online/s/epm/C"
official_origin: "https://hcopub.dhs.state.mn.us/epm/appendix_c.htm"
legal_citations:
  []
---
# EPM C Appendix C Medicare Cost Sharing Amounts

This appendix provides cost sharing amounts for Medicare.

## Medicare Part A Cost Sharing Amounts

| Cost Type | 2025 | 2026 |
| --- | --- | --- |
| Premium | Send SVES | Send SVES |
| Deductible | $1,676 | $1,736 |
| Hospital Coinsurance days 61-90 | $419 | $434 |
| Hospital Coinsurance days 91-150 | $838 | $868 |
| Skilled Nursing Facility Coinsurance days 1-20 | $0 | $0 |
| Skilled Nursing Facility Coinsurance days 21-100 | $209.50 | $217 |

## Medicare Part B Cost Sharing Amounts

| Cost Type | 2025 | 2026 |
| --- | --- | --- |
| All Other Premium Amounts | Send SVES | Send SVES |
| Deductible | $257 | $283 |
| MSHO and SNBC plans that will pay the portion listed of the Medicare Part B Premium | None | None |

## Medicare Part D Cost Sharing Amounts

For information about which Medicare Part D plans in Minnesota are benchmark plans, refer to the [Resources section in ONEsource](https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ONESOURCE-16) for the Amounts in Excess of Medicare Part D Benchmark to Apply as Medical Expense document. The document also provides the amount a person pays out of pocket for non-benchmark plans.

### Standard Benefit Information

| Cost Type | 2025 | 2026 |
| --- | --- | --- |
| Premium | Varies | Varies |
| Annual Deductible | $590 | $615 |
| Coinsurance Costs | $2,000 annual cap on all covered drugs | $2,100 annual cap on all covered drugs |
| Coverage Gap Costs | N/A | N/A |
| Copayments |  |  |

### Extra Help Full Subsidy Information

| Cost Type | 2025 | 2026 |
| --- | --- | --- |
| Premium | $0 | $0 |
| Annual Deductible | $0 | $0 |
| Coinsurance Costs | None | None |
| Coverage Gap Costs | None | None |
| Copayments | ≤ 100% FPG | ≤100% FPG |

###