What Is Medicare Part A?

Medicare Part A is the hospital insurance portion of Medicare. Part A requires no premium for eligible beneficiaries. Part A should not be considered as maintenance or ongoing care, but more emergency, acute care. Part A, like all aspects of Medicare has limitations, co-pays, and deductibles that should be supplemented with a Medigap policy.


Coverage for Part A is determined by benefit periods. Benefit periods begin on the day when the beneficiary checks into the hospital and ends when beneficiary has gone 60 days in a row without a stay at a hospital or skilled nursing care facility. The benefit period then resets. There is no limit to the number of benefit periods a beneficiary is eligible for.


Part A covers the following:



  • Hospital



    • Days 1-60 — $1,132 deductible.



    • Days 61-90 — Medicare covers all costs, but daily co-insurance of $283.



    • Days 91 — 150 – Lifetime reserve days, patient continues to pay daily co-insurance.



    • Days 150+ — Not covered by Medicare.





  • Skilled nursing facility



    • Need must be certified by a doctor.



    • The patient must be hospitalized at least 3 days in a row prior to transfer.



    • The patient enters the nursing facility within 30 days of hospital discharge.



    • Must receive skilled nursing care or rehab on a daily basis.



    • Days 1-20 — Medicare pays 100% of the covered amount.



    • Days 21-100 — Medicare covers all cost but daily co-insurance of $141.50.



    • Days 101+ — Not covered by Medicare.





  • Home health care



    • Need must be certified by a doctor.



    • The patient must be homebound.



    • Medicare must approve of the agency providing care.



    • No deductibles or co-insurance, if eligible for care.





  • Hospice Care



    • Patient must be medically certified to have life expectancy of 6 months or less.



    • If patient lives beyond 6 months, Medicare may extend coverage.



    • No deductibles or co-insurance if eligible for care.















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Source:http://www.dummies.com/how-to/content/what-is-medicare-part-a.html

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