Appendix B: COLA Desk Reference

1.

January 2019 COLA = 2.8% (MA Handbook Chapter 372, Appendix A)

January 2018 COLA = 2.0% (MA Handbook Chapter 372, Appendix A).

2.

SSI Program Benefit Levels (MA Handbook Chapter 368, Appendix B; Chapter 387, Appendix A; & LTC Chapter 489 Appendix A

2019

2018

a.

Individual eligible for domiciliary care supplement.

$1,205.30

$1,184.30

b.

Individual eligible for PCH supplement.

$1,210.30

$1,189.30

c.

Couple eligible for domiciliary care supplement.

$2,104.40

$2,072.40

d.

Couple eligible for PCH supplement.

$2,114.40

$2,082.40

e.

Individual in independent living arrangement.

$793.10

$772.10

f.

Couple in independent living arrangement.

$1,190.30

$1,158.30

g.

Essential individual to an individual or couple.

$386.00

$376.00

h.

Individual living in the household of another and getting income-in-kind (one-third reduction cases).

$539.32

$525.33

i.

Couple living in the household of another and getting income-in-kind (one-third reduction cases).

$809.46

$788.44

j.

Essential individual to individual or couple living in the household of another and receiving income-in-kind (one-third reduction cases).

$386.00

$376.00

k.

Personal care allowance deduction for individual in MA long-term care institution ($90 for a couple in an MA institution).

$45.00

$45.00

l.

Special income level for aged, blind, and disabled individuals in institutions.

$2,313.00

$2,250.00

m.

HCBS programs using 300% of the federal benefit rate.

$2,313.00

$2,250.00

3.

Medically Needy Only income limits (MA Handbook Chapter 369, Appendix A).

1 individual
2 individuals
3 individuals
4 individuals
5 individuals

6 individuals  
Each additional individual

6 Months
$2,550
$2,650
$2,800
$3,400
$4,050
$4,550
$ 550

Monthly
$425
$442
$467
$567
$675
$758
$ 92

4.

Medicare premiums

Part A: $437.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free. (2019)

Part A: $422.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free. (2018)

Part B: $135.00 a month for 2019.

5.

Medicare Inpatient Hospital Care Deductible and Coinsurance Amounts.

a.

A $1,364.00 deductible for each benefit period in 2019.

A $1,340.00 deductible for each benefit period in 2018.

b.

A $341.00 coinsurance for the 61st day through the 90th day in 2019.

A $335.00 per day for the 61st day through the 90th day in 2018.

c.

A $682.00 per day beyond 90 days in 2019.

A $670.00 per day beyond 90 days in 2018.

d.

A $170.50 per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2019.

A $167.50 per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2018.

For the 1st day through the 20th day, Medicare will make full payment for care in a skilled nursing facility.

6.

Medicare deductibles.

Part A: $1,364.00 in 2019   /   $1,340.00 in 2018.

Part B: $185.00 in 2019    /   $183.00 in 2018.