Medicare Part A

medicare


HOSPITAL/HOSPICE INSURANCE

Medicare Part A covers Medicare inpatient care. This includes care received while in a hospital, a skilled nursing facility, and through home health care.

Most people are automatically eligible for Medicare Part A at age 65 if they have worked at least 10 years or 40 quarters and paid Medicare taxes during that time. You may qualify for Medicare Part A before 65 if you have a disability, end-stage renal disease (ESRD), or amyotrophic lateral sclerosis (ALS).

In general, Medicare Part A coverage includes:

1. Inpatient hospital care such as semi-private rooms, meals, general nursing, and drugs as part of your inpatient treatment, and other hospital services and supplies.

2. Home health services such as medically necessary part-time or intermittent skilled nursing care, and/or services for people with a continuing need for occupational therapy.

3. Hospice care coverage includes all items and services needed for pain relief and symptom management. Drugs and certain durable medical equipment. Medical, nursing, and social services.

4. Skilled nursing inpatient care in a facility (not custodial or long term care). Medicare helps cover semi-private rooms, meals, skilled nursing and rehabilitative services, and other medically necessary services and supplies after a 3-day minimum medically necessary inpatient hospital stay for a related illness or injury. An inpatient hospital stay begins the day you are formally admitted with a doctor’s order. It does not include the day you are discharged.

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