What is the daily coinsurance amount for days 61-90 in a hospital under Medicare rules for 2025?

In 2025, the daily coinsurance amount for days 61-90 in a hospital under Medicare rules is set at $419. This amount reflects the cost-sharing portion that beneficiaries are required to pay after they have spent 60 days in a hospital during a single benefit period.

Medicare typically covers the first 60 days of hospitalization at 100%, meaning no coinsurance is needed during this initial period. However, after 60 days, beneficiaries start to incur daily charges, specifically the coinsurance amount for each subsequent day of hospitalization, which is determined annually and can fluctuate based on legislative adjustments or cost of living increases.

The significance of this precise amount lies in understanding the financial responsibilities that come with extended hospital stays and the importance of Medicare Supplement plans, which may cover these out-of-pocket costs for beneficiaries. Knowing this information is essential for agents helping clients navigate Medicare coverage options and managing potential healthcare expenses.