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What does Medicare Part A cover?

[fa icon="calendar"] Apr 9, 2017 11:18:52 AM / by Stephanie Pogue

Stephanie Pogue

When you are new to Medicare, it's important to understand the Parts of Medicare. Specifically, what's covered and what's not, what the costs are to you, if you are eligible for benefits and when you are eligible for benefits. Don't worry, I'll keep this simple and quick. 

First, Medicare Part A primarily covers your inpatient hospital costs and is often called hospital insurance. It also covers a limited amount of skilled nursing care and hospice care.

Inpatient Services

If you need inpatient services, first you will pay a deductible ($1,316 in 2017). Then, assuming you are in the hospital for less than 60 days during a benefit period, Medicare will pay for the remainder of the approved services. However, if you are in the hospital for an extended period of time, daily co-pays (starting at $329 per day in 2017) will also be required.  Although Medicare does pay a significant amount of the hospital costs, you can see the amount you may have to pay can be significant as well. It’s a good idea to have a Medicare Supplement, Medicare Advantage plan or some other type of coverage to help cover those costs.

Skilled Nursing

Most people think Medicare will pay for all of your skilled nursing care costs but it is actually very limited. You may be entitled to some skilled nursing benefits if you have a qualifying hospital stay prior to needing care but it will not be full coverage. A summary of the skilled nursing care benefits provided by Medicare can be found here.

Keep in mind, the deductibles and daily copay amounts for Medicare services change each year. 

Do I qualify?

As long as you have worked 40 quarters, or approximately 10 years, you should be eligible for Medicare Part A at no cost to you. The Medicare taxes you have paid during your working years cover the premium. You may still be eligible for Part A if you did not work that long, however there will be a monthly premium.  

When am I eligible?

You are eligible for Part A when you turn 65 regardless if you are retiring or not. Although you should be enrolled automatically, you may want to contact your Social Security office to confirm.

Now that you are more comfortable with what Medicare Part A covers, it’s time to move on to Medicare Part B.

Related Post: What is Medicare Part B and what does it cover?

If you prefer, you can also watch our simple Introduction to Medicare videos. 

Better yet, save time and effort and get your free video chat consultation today.

Medi

 

Topics: Medicare

Stephanie Pogue

Written by Stephanie Pogue

Stephanie has been primarily helping seniors and retirees with their healthcare decisions since 1995. In addition, she has recruited and trained agents, developed and promoted managers, and ranked in the Top 3% of Sales Managers at Bankers Life & Casualty while she was there. She is now the Director of the St. Louis Insurance Group and can be reached by email at s.pogue@stlouisinsurancegroup.com.

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