Medicare Part A
How Medicare Part A Works In Your Area
Medicare Part A
Medicare Part A covers medicare inpatient care, which includes care received when staying in a nursing home, a hospital, and sometimes at home. It also covers blood transfusions (the first three pints) and hospice services. However, it does not cover long-term care, such as an extended stay in a nursing home. Here’s a simplified look at what Medicare Part A can cover:
- Hospital Stay
- Inpatient Hospital Care
- Skilled Nursing Facility Care
- Medicare covers your room, board, and certain services provided in a skilled nursing facility.
- Hospice Care
- Hospice care is covered for as long as your provider certifies it is necessary.
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How do you know if you’re eligible for Part A?
- If you are age 65 or above
- Entitled to two-year-long Social Security disability
The majority of individuals become eligible for Medicare Part A automatically when they turn 65 years old, if they are already collecting retirement benefits from the Social Security Administration. You may also qualify for Medicare Part A before age 65 if you have a disability, ALS, or an end-stage renal disease. It’s important to note you must be an American citizen or a legal permanent US citizen for a minimum of 5 consecutive years.
What does Medicare Part A Cost?
The majority of the time, most beneficiaries will pay nothing for Medicare Part A. However, those who receive Medicare Part A pay taxes during their working years that are allocated for their future Medicare hospital coverage during retirement. These taxes go towards paying for the cost of Medicare Part A in the long run.
As a beneficiary of Medicare Part A, you will receive coverage for hospital costs that are important to your inpatient care such as meals, a semi-private room, medications, nursing services that are part of your treatment, and many other services. This also includes care received through:
- Critical access hospitals
- Mental Healthcare
- Long-term care facilities
- Acute care medical facilities
- Participation in a qualifying clinical research study
- Inpatient rehab facilities
Remember: As long as you have worked for at least 10 years in your lifetime in the United States, most of the time, you won’t pay anything. If you have not, you can still purchase Medicare Part A if you have been a legal resident or have had a green card for at least five years.
What If you have to pay a premium for Part A?
If you don’t qualify for a premium-free Part A, there is a way you might be able to purchase it. In 2022, the premium can either be $274 or $499 each month, depending on how long you or your spouse worked and paid Medicare taxes.
Good to know: You will also have to sign up for Part B to buy Part A. If you don’t buy Part A when you are first eligible for medicare, you could pay a penalty.
Let’s take a look at the costs for Medicare Part A (Hospital Insurance)
Part A Costs:
What You Pay In 2022:
$0 for most people. (Remember, this is because they paid Medicare taxes long enough while working — usually at least 10 years.) If you have to purchase Medicare, the premium is either $274 or $499 in 2022, depending on how long you or your spouse worked and paid Medicare taxes.
$1,556 for each time you’re admitted to the hospital per benefit period, or before Original Medicare starts to pay. There’s no limit to the number of benefit periods you can have.
Copayments (Inpatient Stays)
Days 1-60: $0 after you pay your Part A deductible
Days 61-90: $389 each day
Days 91-150: $778 each day while using your 60 lifetime reserve days
After day 150: You pay all costs
Have questions or ready to see if you qualify for a free-premium Part A? Give us a call today! Our expert agents are ready and waiting to advise you on the best possible option for your Medicare coverage.
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