EPM C
Appendix C Medicare Cost Sharing Amounts
- Effective:
- March 16, 2026
- Version:
- 2
- Last edited:
- October 3, 2026
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 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 |