Part A (Hospitals)

Medicare Coverage Part A for many people will automatically start the first day of the month they're turning 65. Some people may need to sign up for Medicare Part A.

Medicare Coverage Part A usually doesn't have a monthly premium if you or your spouse paid 40 quarters/ 10 years of Medicare taxes while working.

Medicare Part A helps cover, Hospitals, Inpatient care in Hospitals, Inpatient stays in a skilled nursing facility (not custodial or long-term care), hospice care services and home health services.

What YOU PAY in 2014 with Medicare ONLY!

  • Hospital Stay.....
      You pay a $1,216 deductible with no coinsurance for days 1-60 each benefit period.
      You pay a $304 daily copayment for days 61-90 each benefit period.
      You pay a $608 daily copayment for days 91-150 (lifetime reserve days).
      You pay all charges beyond 150 days.
      Inpatient mental health care in a psychiatric hospital limited to 190 days in a lifetime.

  • Home Health Care.....
      You pay $0 for home health care services.
      You pay 20% of the Medicare-approved amount for durable medical equipment.

  • Skilled Nursing Facility Stay.....
      You pay $0 for the first 20 days each benefit period.
      You pay $152 per day for days 21-100 each benefit period.
      You pay all costs for each day after day 100 in a benefit period.

  • Hospice Care.....
      You pay $0 for hospice care.
      You pay a copayment of up to $5 per prescription for outpatient prescription drugs for pain and symptom management.
      You pay 5% of the Medicare-approved amount for inpatient respite care (short-term care given by another caregiver, so the usual caregiver can rest).

*Medicare doesn't cover room and board when you get hospice care in your home or another facility where you live (like a nursing home).

  • Blood.....
      In most cases, the hospital gets blood from a blood bank at no charge, and you won't have to pay for it or have to replace it. If the hospital has to buy blood for you, you must either pay the hospital for the first 3 units of blood you get in a calendar year or have the blood donated.
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