Medicare Part A insurance helps pay for medically necessary care—care for an illness or medical condition—that involves an inpatient stay in the hospital. Part A also helps pay for a stay in a
skilled nursing facility as a follow-up to a hospital stay,
hospice care for the terminally ill and some skilled
home health care for those who cannot leave their homes. And it helps pay for some blood transfusions.
What doctors or health professionals can you see?
You can choose any qualified provider in the United States who has been accepted by Medicare and who is accepting new patients. Because Part A offers the same benefits throughout the United States, you are not limited to a particular state or region for your care.
Medicare Part A costs
Medicare Part A premium
Medicare Part A is free if you or your spouse made payroll contributions to Social Security for at least 10 years (40 quarters).
If you otherwise qualify for Medicare but neither you nor your spouse contributed to Social Security for at least 10 years, you’ll pay a monthly premium of up to $451 per month in 2012.
Important: If you don’t qualify for no-premium Part A benefits, and you don’t enroll in Part A when you first become eligible for Medicare, your Part A premium could be higher.
Medicare Part A cost sharing
Medicare Part A deductible
Before Part A begins paying a share of your costs, you must first pay a deductible. In 2012, your Part A deductible is $1,156. You’ll pay this deductible for each hospital stay, subject to certain limits.
Medicare Part A copay
You pay a copay after you have stayed in the hospital or in a skilled nursing facility a certain number of days. Here are the Part A copays for 2012:
- For hospital stays, you’ll pay $289 per day for days 61 through 90, and $578 per day for days 91 through 150.
- In a skilled nursing facility, you’ll pay $144.50 for days 21 through 100 that you stay.
- You’ll also pay a copay of up to $5 for each outpatient drug prescription you receive in hospice care.
Medicare Part A coinsurance
You will pay a small coinsurance payment if you use inpatient respite care for hospice patients.