Medicare Part A

Healthcare worker visiting senior patient at home

Medicare Part A: Hospital Insurance

Once you become eligible for Medicare, one of the key components of your coverage is Medicare Part A, also known as hospital insurance. Part A helps cover the cost of inpatient care in hospitals and skilled nursing facilities. It does not cover long-term custodial care.

Most people don't pay a monthly premium for Part A because they paid Medicare taxes while working. If you didn't pay Medicare taxes for at least 10 years (40 quarters), you may still be able to purchase Part A coverage.

What Does Medicare Part A Cover?

  • Inpatient hospital care for up to 90 days per benefit period, with a deductible each benefit period.
  • Skilled nursing facility (SNF) care for up to 100 days per benefit period when criteria are met.
  • Home health care, in some cases up to 100 days after a qualifying hospital or SNF stay.
  • Hospice care for individuals with a terminal illness, when certified by a doctor.

Eligibility for Medicare Part A

You're eligible for premium-free Part A if:

  • You're 65 or older and you or your spouse paid Medicare taxes for at least 10 years.
  • You're under 65 with a qualifying disability or End-Stage Renal Disease (ESRD).

Out-of-Pocket Costs with Part A

  • The Part A deductible, set annually by Medicare.
  • Coinsurance for hospital stays over 60 days.
  • Coinsurance for SNF stays beyond 20 days.
  • Costs not covered (personal items, private rooms, long-term custodial care).

Need Help Navigating Medicare?

As a licensed local agent, I can guide you through Medicare and help you make informed decisions about your healthcare and retirement needs. Call (216) 244-9571 today for a no-cost, no-obligation consultation. Calling the phone number will direct you to a licensed agent/broker.

*Disclaimer: This page has not been reviewed or endorsed by Medicare.gov or any member of the Centers for Medicare & Medicaid Services (CMS).