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Medicare Part A

What Does Medicare Part A Cover?

Medicare Part A covers hospitalization services from healthcare providers who accept Original Medicare coverage. Examples of hospitalization services include surgery, inpatient rehabilitation services, skilled nursing facility care, and hospice.

Medicare Part A Deductible 2014

The deductible for Medicare Part A is not like most medical deductibles. Most medical deductibles apply once per year. The deductible for Medicare Part A is different. Medicare Part A has a deductible for each benefit period you experience. A Medicare Part A benefit period begins when a Medicare enrollee is admitted as an inpatient to a hospital or skilled nursing facility. The period ends when this enrollee has not been an inpatient at either a hospital or a skilled nursing facility for a continuous 60-day period. Because of the Part A deductible’s relationship to a benefit period instead of a year, a Medicare enrollee can face multiple benefit periods (and Part A deductibles) within a single calendar year.

In 2014, the Medicare Part A deductible amount is $1,216.

Medicare Part A Deductible 2015

The Centers for Medicare & Medicaid Services (CMS) has yet to release information on the 2015 Medicare Part A deductible but HealthPocket will update this page as soon as the data becomes available. Information for this year’s Medicare Part A deductible was announced on October 28, 2013 and thus it is anticipated that the 2015 Medicare Part A deductible will be available mid-to-late Fall of this year.

Medicare Part A Co-Insurance Fees 2014

Co-insurance is a percentage of medical costs paid out-of-pocket by the patient as opposed to the insurance plan. Medicare Part A charges co-insurance fees for inpatient healthcare. The 2014 co-insurance fees for Medicare Part A inpatient care is as follows:

  • Days 1-60 as an inpatient: $0 co-insurance for each benefit period
  • Days 61-90 as an inpatient: $304 co-insurance per day of each benefit period
  • Days 91 (and higher) as an inpatient: $608 co-insurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)
  • Beyond lifetime reserve days: all costs paid by patient

Medicare Part A Premium 2014

Most people who are eligible for Medicare Part A do not have to pay a premium. If you or your spouse paid Medicare taxes while working, it is unlikely that you will have to pay for Medicare Part A.

However, for those people that are obligated to pay a premium, Part A can cost up to $426 a month in 2014. Typically, if you buy Medicare Part A, you must also buy Medicare Part B.