1. |
January 2025 COLA = 2.5% (MA Handbook Chapter 372, Appendix A) January 2024 COLA = 3.2% (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 |
||||||
|
|
|
2025 |
2024 |
|||
a. |
Individual eligible for domiciliary care supplement. |
$1,601.30 |
$1,577.30 |
||||
b. |
Individual eligible for PCH supplement. |
$1,606.30 |
$1,582.30 |
||||
c. |
Couple eligible for domiciliary care supplement. |
$2,797.40 |
$2,762.40 |
||||
d. |
Couple eligible for PCH supplement. |
$2,807.40 |
$2,772.40 |
||||
e. |
Individual in independent living arrangement. |
$989.10 |
$965.10 |
||||
f. |
Couple in independent living arrangement. |
$1,483.30 |
$1,448.30 |
||||
g. |
Essential individual to an individual or couple. |
$484.00 |
$472.00 |
||||
h. |
Individual living in the household of another and getting income-in-kind (one-third reduction cases). |
$670.13 |
$654.20 |
||||
i. |
Couple living in the household of another and getting income-in-kind (one-third reduction cases). |
$1005.01 |
$981.78 |
||||
j. |
Essential individual to individual or couple living in the household of another and receiving income-in-kind (one-third reduction cases). |
$484.00 |
$472.00 |
||||
k. |
Personal care allowance deduction for individual in MA long-term care institution ($90 for a couple in an MA institution). |
$60.00 |
$45.00 |
||||
l. |
Special income level for aged, blind, and disabled individuals in institutions. |
$2,901.00 |
$2,829.00 |
||||
m. |
HCBS programs using 300% of the federal benefit rate. |
$2,901.00 |
$2,829.00 |
||||
3. |
Medically Needy Only income limits (MA Handbook Chapter 369, Appendix A). |
||||||
|
6 individuals |
6 Months |
Monthly |
||||
4. |
Medicare premiums |
|
|
||||
|
Part A: $518.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free. (2025)
Part A: $505.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free. (2024) |
||||||
Part B: $185.00 a month for 2025.
Part B: $174.70 a month for 2024.
|
|||||||
5. |
Medicare Inpatient Hospital Care Deductible and Coinsurance Amounts. |
||||||
|
a. |
A $1,676.00 deductible for each benefit period in 2025. A $1,632.00 deductible for each benefit period in 2024. |
|||||
b. |
A $419.00 coinsurance for the 61st day through the 90th day in 2025. A $408.00 coinsurance for the 61st day through the 90th day in 2024. |
||||||
c. |
A $838.00 per day beyond 90 days in 2025. A $816.00 per day beyond 90 days in 2024. |
||||||
d. |
A $209.00 per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2025. A $204.00 per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2024. |
||||||
|
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: $1,676.00 in 2025 / $1,632.00 in 2024. |
||||||
Part B: $257.00 in 2025 / $240.00 in 2024. |
Updated January 23, 2025, Replacing January 17, 2024