Medicare Part ABased on 2006 Data |
Services |
Benefit |
Medicare Pays |
You Pay |
Hospitalization per
benefit period - Footnote 1 |
1 - 60 Days |
All covered services
except for a deductible |
$952
per benefit period for up to 60 days of Medicare-covered services |
Semiprivate room and board, general nursing and miscellaneous |
61 - 90 Days |
Covered services except for a daily coinsurance amount |
$238
a day |
| Hospital services and supplies | 91 - 150 Days (60 Reserve Days) |
Covered services except
for a daily coinsurance amount |
$476 a day |
Skilled Nursing Facility |
1- 20 Days |
100% of Approved Amount | Nothing |
21 - 100 Days |
Covered services except for a daily coinsurance amount | $119 a day | |
Over 100 Days |
Nothing | Everything | |
| Home Health Care | Visits limited to
medically necessary skilled care, unlimited as long as you meet Medicare
requirements for home health benefits |
Full costs of services;
80% of approved amount for durable medical equipment |
Nothing for services;
20% of approved amount for durable medical equipment |
| Hospice Care | As long as doctor
certifies need |
All but limited costs
for outpatient drugs and inpatient respite care |
Limited cost sharing
for outpatient drugs and inpatient respite care |
| Blood | Unlimited during benefit
period, if medically necessary |
All but first three
pints per calendar year |
For first three pints |
| Footnote 1 -- 60 reserve days may be used only once | |||
| Footnote 2 -- A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital or skilled nursing facility for 60 days in a row. You must have been in a hospital for at least three days and enter a Medicare-approved facility generally within 30 days after medical discharge. Medicare and private insurance will not pay for most nursing home care. | |||
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