Medicare Part A
ELIGIBILITYYou are eligible for Medicare if:
- you are 65 years or older, and
- you are a citizen or permanent resident of the United States who has lived in US for at least 5 years
- If you are not yet 65, you might also qualify for coverage if you have a disability or End-Stage Renal disease (permanent kidney failure requiring dialysis or transplant). You are entitled for Medicare after you get disability benefits from Social Security for 24 months.
- Your age is the main determining factor. You do NOT need to retire or receive Social Security benefits in order to be eligible for Medicare.
- Many Medicare beneficiaries are dual-eligible, i.e. they are qualified for both Medicare and Medicaid.
- Inpatient hospital care (such as critical access hospitals, inpatient rehabilitation facilities, and long-term care hospitals)
- Inpatient care in a skilled nursing facility (not custodial or long term care)
- Hospice care services
- Home health care services
- Most people age 65 or older don’t have to pay a monthly payment (called premium) for Part A because they or their spouses paid Medicare taxes while they were working – 40 or more quarters of Medicare covered employment
1. INPATIENT HOSPITAL STAY
- $1,340.00 (per benefit period) (Year 2018)
- $335 per day for days 61-90 of a hospital stay. (Year 2018)
- $670 per day for days 91-150 of a hospital stay (Lifetime Reserve Days). (Year 2018)
- All costs for each day beyond 150 days
- Up to 90 days of inpatient hospital services in each benefit period
- An additional 60 lifetime reserve days
2. SKILLED NURSING INSURANCE
- $167.50 per day for days 21 through 100 each benefit period. (Year 2018)
- All costs for each day after day 100 in each benefit period