In general, Part A covers:

Inpatient hospital care

Medicare Part A (Hospital Insurance) covers inpatient hospital care when all of these are true:

  • You’re admitted to the hospital as an inpatient after an official doctor’s order, which says you need inpatient hospital care to treat your illness or injury.
  • The hospital accepts Medicare.
  • In certain cases, the Utilization Review Committee of the hospital approves your stay while you’re in the hospital.

 

Your costs in Original Medicare

  • $1,364 deductible for each benefit period .
  • Days 1–60: $0 coinsurance for each benefit period.
  • Days 61–90: $341 coinsurance per day of each benefit period.
  • Days 91 and beyond: $682 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime).
  • Beyond lifetime reserve days : all costs.

 

Skilled nursing facility (SNF) care

Medicare Part A (Hospital Insurance) covers skilled nursing care provided in a SNF in certain conditions for a limited time (on a short-term basis) if all of these conditions are met:

  • You have Part A and have days left in your benefit period to use.
  • You have a qualifying hospital stay .
  • Your doctor has decided that you need daily skilled care. It must be given by, or under the supervision of, skilled nursing or therapy staff.
  • You get these skilled services in a SNF that’s certified by Medicare.
  • You need these skilled services for a medical condition that’s either:

Your costs in Original Medicare

You pay:

  • Days 1–20: $0 for each benefit period .
  • Days 21–100: $170.50 coinsurance per day of each benefit period.
  • Days 101 and beyond: all costs.

Long-term care hospital services

Medicare Part A (Hospital Insurance) covers care in a long-term care hospital (LTCH).

Your costs in Original Medicare

You won’t usually pay more for care in a LTCH than in an acute care hospital. Under Medicare, you’re only responsible for one deductible for any benefit period. This applies whether you’re in an acute care hospital or a long-term care hospital (LTCH).

You don’t have to pay a second deductible for your care in a LTCH if:

  • You’re transferred to a LTCH directly from an acute care hospital.
  • You’re admitted to a LTCH within 60 days of being discharged from an inpatient hospital stay.

If you’re admitted to the LTCH more than 60 days after any previous hospital stay:

  • A new benefit period begins.
  • You’ll have to pay a deductible and coinsurance because you’re in a new benefit period. These charges are the same as if you were being admitted to an acute care hospital.