MODULE 1
Lesson 1 - Medicare
Part A - Hospital
- Part A helps cover:
- Inpatient care in hospitals
- Skilled nursing facility care
- Hospice care
- Home health care
- You usually don’t pay a monthly premium for Part A coverage if you or your spouse paid Medicare taxes while working for a certain amount of time. This is sometimes called premium-free Part A. If you aren’t eligible for premium-free Part A, you may be able to buy Part A.
- Part A Premium – If you paid Medicare taxes for
- Less than <30 quarters, Part A premium is $505.
- 30-39 quarters, the standard Part A premium is $278.
Deductible
- $1,632 deductible for each benefit period
- You must pay the inpatient hospital deductible for each benefit period.
- There’s no limit to the number of benefit periods.
Coinsurance
- Days 1-60: $0 coinsurance for each benefit period
- Days 61-90: $408 coinsurance per day of each benefit period
- Days 91-150: $816 coinsurance 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