What does Part A cover?
Inpatient care in hospitals
- Meals and prescription drugs that are administered while you’re an inpatient
- Medically Necessary Coverage
- As with other aspects of the Medicare program, Part A’s general guideline is that it will help pay for what is medically necessary. Having a television in your hospital room, for example, is not considered medically necessary, so Medicare won’t pay for it.
You pay this for each benefit period :
- $1,600 deductible
- Days 1–60: $0 coinsurance
- Days 61–90: $400 coinsurance per day
- Days 91 and beyond: $800 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime)
- Each day after lifetime reserve days : All costs
Skilled nursing facilities for each benefit period:
- Days 21-100 à $200
- Days 101 and beyond: You pay all costs.
Home health care
- $0 for covered home health care services.
- 20% of the Medicare-approved amount for durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment)
Hospice services
- $0 for covered hospice care services
- A copayment of up to $5 for each prescription drug
