There are two parts of a Medicare plan that consists of Part B (medical insurance) and Part A (hospital insurance). Medicare Part A is a hospital insurance benefits plan within the Medicare program. Hospital insurance has to do with expenses like hospital visits, nursing facilities, home health care services, and hospice care. Depending on specific requirements, you may be eligible for both or only one part of Medicare.

When you have Medicare Part A, this coverage covers a variety of things relating to hospitals. Let’s dive deeper into each instance where Medicare Part A will cover expenses for your hospital insurance.

Medicare

What Medicare Part A (Hospital Insurance) Covers

If you have Medicare Part A, you will be covered for a variety of things.

1)   Inpatient Hospital Care

Inpatient hospital care is when you have been admitted to the hospital by a doctor or physician. This type of coverage can be handy if you get accepted into the hospital for pneumonia or other severe medical conditions, like diabetes. Medicare Part A will cover up to 90 days of inpatient care in a hospital for each benefit period. You also have 60 reserve days, but you will have to pay a coinsurance to use these reserve days. The reserve days can be split up into different instances. For example, you may use 30 reserve days for one inpatient visit and the remaining 30 at another time. If you need inpatient psychiatric care, Medicare Part A will cover up to 190 lifetime days for the care required.

2)   Skilled Nursing Facility Care

If you need a skilled nursing facility, then this is included in your Medicare Part A benefits. Medicare Part A will cover your board, room, administration of medicine, tube feedings, and the care of wounds. Medicare will cover up to 100 days of each benefit period for this type of care. Although, there are some prerequisites before you can use this coverage. You must have received three consecutive days in inpatient care, and it must have been within thirty days of admittance to the skilled nursing facility.

3)   Home Health Care Services

Home health care services are covered under Medicare Part A benefits. If you are housebound and need skilled professionals to care of you, then this insurance can be beneficial. Medicare Part A will cover up to 100 days of home health care services. If you need care but do not need someone there all the time, they will cover an unlimited amount of intermittent care. But to qualify, you must have spent three consecutive days as an inpatient at a hospital, and this care must be provided within fourteen days of the inpatient stay.

4)   Hospice Services

Hospice care consists of a licensed professional coming to someone’s home near the end of their life. A hospice caretaker will make sure the terminally ill person is comfortable and will take care of their physical, psychological, spiritual, and social needs while trying to reduce any pain the person is having. You may receive these benefits if a doctor determines you are terminally ill and will be covered entirely as long as you have this recommendation.

If you need or think you may need any of this care, then applying for Medicare Part A may benefit your health and wellbeing.

Although Medicare Part A covers many things, there are chances that you may have co-pays for some of these instances.

Copays and Premiums for Medicare Part A

Some people do not pay any premiums for Medicare Part A, which is called Premium-free Part A, but how much you have worked will determine if you pay a lesser premium or not. If you paid Medicare taxes for less than 30 quarters, your premium would be $471 each month. If you paid Medicare taxes for 30-39 quarters, then your premium will cost $259.

Medicare Part A insurance holders will pay a deductible of $1,484 for each benefit period. For care received within the first 60 days, you will not have a copay for each benefit period. When you reach 61 to 90 days, your co-pay is $317 per day per benefit period. If you receive care for over 91 days, your co-pay is $742 per lifetime reserve day for each benefit period. If you need more care after using your reserve days, then you must pay all costs.

Knowing what you will have to pay and what your insurance covers can help you choose the best care for your needs and is essential in knowing what to expect when you receive certain types of care from your Medicare benefits.

Medicare Part A is beneficial for people who think they may need hospital care in the future and is essential to have in case of an emergency, especially as we get older.

Author

Rehan after completing his degree in computer sciences from Harvard; decided to pursue his career in the field of digital marketing. It has been 2 years of helping people to reach their digital goals.

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