Genser Dubow Genser & Cona LLP

2009 Resource & Income Allowances and Regional Rates

The New York State Department of Health has issued the 2009 figures for resource and income allowances as well as updated regional rates for Medicaid eligibility purposes. The Social Security Administration has released its updated Medicare deductibles and co-insurance amounts. All figures are effective as of January 1, 2009.

New York State Medicaid Resource and Income Allowances for 2009

Institutional / Nursing Home Care

Applicant

Community Spouse

Resource Allowance

$13,800

$109,560 (maximum)

Income Allowance

$50

$2,739

Community Based Care (Home Care, Adult Day Care)

Applicant

Community Spouse

Resource Allowance

$13,800

$20,100

Income Allowance

$767

$1,117

2009 Medicaid Regional Rates

Region

Regional Rate

Long Island (Nassau/Suffolk)

$10,852

New York City (5 Boroughs)

$9,838

Central (Syracuse)

$6,938

Northeastern (Albany)

$7,766

Northern Metropolitan (Westchester)

$9,439

Rochester

$8,720

Western (Buffalo)

$7,418

Medicare Deductible and Coinsurance Amounts for 2009

Medicare Premiums and Deductible Amounts

Part A
Hospital

Part B
Medical

Deductible

$1,068

$135 (per year) (unchanged)

Premium

$0*

$96.40 (per month) (unchanged)

*most people do not pay for Part A

Medicare Coinsurance Amounts

Hospital

Skilled Nursing Facility

Co-pay

$0/day for days 0-60

$133.50/day for days 21-100
(if medically eligible)

Co-pay
 

$267/day for days 61-90
 

 

Co-pay
 

$534/day for days 91-150
 

 

The material in this newsletter is for information and education purposes only. The articles contained herein are not legal advice and do not necessarily reflect the opinion of this law firm.
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