MEDICARE PART A – YOUR HOSPITAL COVERAGE
What It Is
Part A is hospital insurance. It helps cover inpatient hospital care, skilled nursing facility care after a qualifying stay, hospice, and some home health services.
What It Covers
- Inpatient hospital stays (room, meals, nursing)
- Skilled nursing facility (SNF) care (after a qualifying inpatient stay)
- Hospice care
- Some home health services when medically necessary
Costs — At a Glance
Part A may include a deductible per benefit period and daily coinsurance for longer hospital or SNF stays. Many people have a $0 Part A premium based on work history.
What This Really Means
A “benefit period” starts when you’re admitted and ends after you’ve been out of the hospital/SNF for 60 days in a row. After day 90 in one benefit period, Medicare gives you up to 60 lifetime reserve days total across your life. Once they’re used, they’re gone.
How Medigap Helps With Part A
Depending on the plan, Medigap may cover your Part A deductible, hospital coinsurance (and up to 365 additional hospital days), SNF coinsurance, and hospice cost-sharing.
Review Your Part A Options
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MEDICARE PART B – YOUR MEDICAL COVERAGE
What It Is
Part B helps pay for doctor and specialist visits, outpatient services, preventive care, lab tests, imaging, durable medical equipment, outpatient mental health, and some home health care.
How Costs Work
Part B generally has a monthly premium and an annual deductible; after that, Medicare typically pays 80% of approved amounts and you pay 20% with no annual cap under Original Medicare.
What This Really Means
Without supplemental coverage, the 20% coinsurance can add up. Major treatments can be expensive because Original Medicare doesn’t include an out-of-pocket maximum.
How Medigap Helps With Part B
Medigap can cover some or all of your Part B coinsurance. Some plans (like G) also cover Part B excess charges where applicable. (Benefits vary by plan.)
See Your Part B Options
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We do not offer every plan available in your area. Currently we represent [X] organizations which offer [Y] products. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
Fortunata Agency is not affiliated with or endorsed by the federal government, Medicare, or the Centers for Medicare & Medicaid Services.