Medicare Part A pays for Medicare covered services that happen when you are admitted to the hospital as an In-Patient. Things like the room and board charges, prescriptions they may prescribe, the surgery, anesthesia, etc.
Part A also covers a limited amount of care in a skilled nursing facility, hospice, and some medically necessary home health care.
With nothing else, you have a deductible of $1408 (2020). This deductible resets every 60 days, called the Part A Benefit Period.
The longer you are in the hospital past 60 days, you now owe a per-day copay. It starts at $352 per day and goes up from there.
Inpatient Hospital
Most people pay no premium for Medicare Part A because they have paid Medicare Insurance taxes through their jobs of self-employment.
More about Premium-Free Medicare Part A
People Age 65 or older, who are citizens or permanent residents of the United States, are eligible for Part A at no cost at age 65 if:
If you do not meet these requirements, you may be able to get Medicare Part A by paying a monthly premium. Your monthly Part A premium will depend on how many quarters you or your spouse paid Social Security taxes. Usually, you can only purchase Part A coverage during designated enrollment periods.
Before age 65, you are eligible for Medicare Part A at no cost if you meet a different set of criteria. For more information click here.
$1484 Deductible (2021)
More About the Part A Deductible
The Medicare Part A deductible is different than deductibles you may be used to where if you meet it, it is met for the year. The Part A deductible resets every 60 days, called the Part A Benefit Period.
What this means is if you get admitted into the hospital, have whatever done, pay the deductible, get better and go home. Then 3 weeks later you go back, Medicare will still pay right away. Let’s say you get better and go home, now 3 months later you go back, even if it’s for the same thing, you’re on the hook for the Part A deductible again.
Per Day Co-Pay (2021)
Days 61-90=$371/day
Days 91-150=$742/day
(Lifetime Reserve Days)
More About Medicare Part A Per-Day Co-pay (2021)
The first 60 day as an inpatient in a hospital is paid by the Part A deductible. If you are in the hospital longer than 60 days, now you will be charged a per day copay.
Beyond lifetime reserve days : all costs.
There’s More To It
Tell us your story and we listen. Our office is conveniently located in the historic Mill Street Transfer in downtown Plymouth, WI in the heart of Sheboygan County. All consultation meetings are free for our clients.
info@nextstep-insurance.com
(920) 268-1600
435 East Mill Street Mill Street Transfer Building Plymouth, WI 53073