Medicare Resources
Clay County Hospital is committed to providing the best resources to our community members that are eligible for or will be soon eligible for the Medicare program. If you recently attended our 2026 informational session on November 18th, you received some handouts that will be helpful when navigating the many Medicare plan options. We have included those same three handouts below in the “Documents & Resources” section of this page for you or those you know who may benefit from them. If you have any questions about CCH and their participation in Medicare programs, please review the document below titled “CCH Participating Medicare Advantage Plan Listings By County 2026” or call us at (618) 662-2131 and ask for our billing department.
Helpful Information and Updates
As of 11/24/25:
We have two revisions just announced by Medicare to the information we shared in the PPT used in the ABCs of Medicare Presentations on November 18th.
The Part B premium for most beneficiaries will be $202.90 – NOT the $206.50 originally noted.
The Part B deductible is listed at $283 per year not the $288 as originally reported.
Please see the information below as you may wish to share this information with your community and adjust shared information on your websites.
Recently, the Centers for Medicare & Medicaid Services (CMS) released the 2026 Medicare Parts A & B, Deductibles, and Part D Income-Related Adjustment (IRMA) amounts.
The table below represents cost sharing:
| Cost Sharing Type | 2025 | 2026 |
| Part B Deductible | $257.00 | $283.00 |
| Inpatient hospital deductible | $1,676.00 | $1736.00 |
| Daily coinsurance for 61st-90th Day | $419.00 | $434.00 |
| Daily coinsurance for lifetime reserve days | $838.00 | $868.00 |
| Skilled Nursing Facility coinsurance | $209.50 | $217.00 |
The table below represents calculations based on a single-tax filer. Please note: CMS has a two-year modified adjusted gross income (MAGI) look back for IRMAs.
| 2026 Full Part B Coverage | 2026 Part D Coverage | |||
| Beneficiaries who file individual tax returns with MAGI | Beneficiaries who file joint tax returns with MAGI | IRMA Amount | Adjusted Part B Premium* | IRMA Amount |
| <= $109,000 | <= $218,000 | $0.00 | $202.90 | $0.00 |
| > $109,000 and <= $137,000 | > $218,000 and <= $274,000 | $81.20 | $284.10 | $14.50 |
| > $137,000 and <= $171,000 | > $274,000 and <= $342,000 | $202.90 | $405.80 | $37.50 |
| > $171,000 and <= $205,000 | > $342,000 and <= $410,000 | $324.60 | $527.50 | $60.40 |
| > $205,000 and < $500,000 | > $410,000 and < $750,000 | $446.30 | $649.20 | $83.30 |
| > = $500,000 | > = $750,000 | $487.00 | $689.90 | $91.00 |
* 2026 Part B Premium $202.90
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Documents & Resources
Medicare Powerpoint Slides Presentation (November 18th, 2025)
CCH SHIP (State Health Insurance Assistance Program) Site List By County 2025/2026
CCH Participating Medicare Advantage Plan Listings By County 2026