What does Part A cover?

 In general Medicare Part A covers:

 

  • Hospital care

  • Skilled nursing facility care

  • Hospice care

  • Home health services

Medicare Part A

How much do I pay for Part A?

As long as you have worked for 40 quarters (10 years) and have paid your taxes then you pay $0 for Part A. 

When am I eligible for Part A?

You are eligible to begin receiving your benefits under Part A of Medicare on the 1st day of your 65th birthday month. If your birthday happens to be on the 1st day of the month then you are eligible to receive Part A on the 1st day of the month before your 65th birthday month. If you are already receiving Social Security benefits then you will be automatically enrolled into Part A and will receive your red, white and blue Medicare card roughly 3 months before your 65th birthday month. If you are not receiving Social Security benefits then you will need to contact Social Security to sign up for Part A. You can sign up for Part A as early as 3 months before your birthday month.

 

Some individuals will be eligible to receive Medicare before turning 65 if they become permanently disabled.

How much do I pay for covered Part A services?

For Medicare covered services you are generally left with some sort of deductible or co-insurance. Below we will explain what Medicare pays for covered Part A services and how much responsibility you will be left with. Keep in mind these amounts are if you have Part A only and do not have any extra coverage (like a Medigap plan). You may be eligible to purchase a separate policy that could help you pay or even eliminate these expenses. Contact us today for information on what coverage is available to protect yourself from these expenses.

 

Hospital admission:

2022 amounts shown below

 

  • Days 1-60:                        $1,556 deductible (per benefit period*)

  • Days 61-90:                      $389/day

  • Days 91 and beyond:    $778 per "lifetime reserve day" after day 90 for each benefit period (up to 60 days over                                              your lifetime)

 

 

Skilled Nursing Facility:

2022 amounts shown below

  • Days 1-20:        Covered in full by Medicare (per benefit period*)

  • Days 21-100:    $194.50/day (per benefit period*)

  • Days 100+:       You are responsible for ALL COSTS

*Benefit period: The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services. A benefit period begins the day you're admitted as an inpatient in a hospital or SNF. The benefit period ends when you haven't gotten any inpatient hospital care (or skilled care in a SNF) for 60 days in a row. If you go into a hospital or a SNF after one benefit period has ended, a new benefit period begins. You must pay the inpatient hospital deductible for each benefit period. There's no limit to the number of benefit periods.