Medicare Part A is hospitalization coverage, plus skilled nursing, hospice, and home healthcare. Straightforward part of Original Medicare and very common form of Medicare that has over 44 million beneficiaries.
Coverage – Easiest way to think of it as just room and board at the hospital. Medicare Part A generally covers hospital fees. More specifically, it covers: Hospital Care, semi-private rooms, prescription drugs related to treatment, meals, and more. Long-Term Hospital Care up to 60 days. Skilled Nursing Facility Care for a limited amount of time, including certain services and supplies required for care.
Other more specific types of care include (but are not limited to) semi-private rooms, medical supplies and equipment, and ambulance transportation are also included in Medicare Part A coverage.
Other services may be covered, but require approval from your plan provider first. These services include: Nursing home care not including custodial care (i.e. dressing, bathing, etc.), Hospice care, Home health services during recovery.
Cost -Most receive Part A for free based on their work history.
- Deductible: The 2023 yearly fee is $1600 per event in a calendar year. Skilled nursing is $200 per day, days 21-100.
- Copayments/Coinsurance: These cost-sharing fees are required for certain services/equipment. The typical rate is 20%, but this is subject to change depending on the service and is limited under Medicare. Typical rate is 20% after deductible is met.
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Need Help Understanding Your Medicare Options?
We know that there are a lot of things you need to sort out in your Medicare coverage. It is tricky, but Med-Advisors.com is here to help. If you have questions or want a free quote, give us a call at 1-844-626-9420.
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Medicare Part B is doctor visits and preventive services like screening & tests.
Coverage– Generally covers medically necessary equipment and services, including illness treatment, preventative care, checkups, and screenings. More specifically, it covers:
- Cardiac Rehabilitation
- Limited Chiropractic Services
- Ambulance Services
- Diabetes Supplies
- Durable Medical Equipment (DME)
- Kidney Dialysis Services and Supplies
- Outpatient Mental Healthcare
- Physical Therapy
- And Much More
Cost- Monthly Premium is based on your IRS tax return and Income Related Monthly Adjustment Amount (IRMAA). The standard monthly premium for 2023 is $164.90.
- Deductible: The 2023 yearly fee of $226 is automatically subtracted from certain benefits.
- Copayments/Coinsurance: These cost-sharing fees are required for certain services/equipment. The typical rate is 20%, but this is subject to change depending on the service and is limited under Medicare.
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Need Help Understanding Your Medicare Options?—with picture
We know that there are a lot of things you need to sort out in your Medicare coverage. It is tricky, but Med-Advisors.com is here to help. If you have questions or want a free quote, give us a call at 1-844-626-9420.
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Medicare Part D is the Medicare prescription drug program that helps subsidize the cost of prescriptions. It is required. Specific coverage options and costs depend on the plan and provider you choose. These change yearly, let us help you find the best plan for you.
When you’re ready to start looking for a Medicare Part D plan, we have you covered. If you would like a free drug analysis and help from one of our talented team members, give us a call at 1-844-626-9420.