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Medicare Part A Hospital Insurance

Medicare Part A Hospital Insurance

Medicare is a complex service, split into four distinct categories known as Parts A, B, C, and D. Together, Medicare Parts A and B are known as Original Medicare.

Original Medicare:

Each Medicare distinction is defined by its specific coverage areas and unique accommodations. Understanding the characteristics of each Medicare part is crucial for making informed decisions.

Part A Coverage:

Medicare Part A is hospital insurance. It may help cover inpatient hospital care, skilled nursing facility care, nursing home care when skilled care is medically necessary, hospice care, and certain home health services.

What Does Medicare Part A Cover?

Medicare Part A covers several important healthcare services. Coverage may depend on your medical needs, your doctor’s instructions, the type of care you receive, and whether the service meets Medicare requirements.

Hospital Care
Skilled Care
Hospice & Home

Inpatient hospital care may include semi-private rooms, meals, nursing services, and prescription drugs needed for your treatment. Medicare Part A hospital coverage may include inpatient care received in long-term care hospitals, inpatient mental health hospitals, acute care hospitals, and critical access hospitals.

Skilled nursing facility care may include semi-private rooms, meals, skilled nursing care, prescription medications, medical supplies and equipment, and ambulance transportation if medically necessary. You may be covered if your doctor has decided that daily skilled nursing care is medically necessary.

Hospice care may include doctor services, nursing care, durable medical equipment, medical supplies, and other services if you are terminally ill and your doctor has determined that you have six months or less to live. Home health services may include at-home skilled nursing care, physical therapy, occupational therapy, and other limited services when medically necessary.

Medicare Part A May Cover:

  • Inpatient hospital care
  • Skilled nursing facility care
  • Nursing home care when skilled care is medically necessary
  • Hospice care
  • Home health services for a limited period when requirements are met

Inpatient Hospital Care

Inpatient hospital care may include semi-private rooms, meals, nursing services, and prescription drugs needed for your treatment. Medicare Part A hospital coverage may include inpatient care you receive in long-term care hospitals, inpatient mental health hospitals, acute care hospitals, and critical access hospitals.

Skilled Nursing Facility Care

Skilled nursing facility care may include semi-private rooms, meals, skilled nursing care, prescription medications, medical supplies and equipment, and ambulance transportation if medically necessary. You may be covered if your doctor has decided that daily skilled nursing care is medically necessary.

Nursing Home Care

Nursing home care may be covered for a limited portion of time if deemed medically necessary. Medicare Part A only covers nursing care if skilled care is needed for your condition, per a doctor’s instructions. You must require more than custodial care, such as help with daily living tasks like bathing or dressing, to be considered medically reliant for this type of care.

Hospice Care

Hospice care may include doctor services, nursing care, durable medical equipment, medical supplies, and other services if you are terminally ill and your doctor has determined that you have six months or less to live.

Home Health Services

Home health services may include at-home skilled nursing care, physical therapy, occupational therapy, and other services for a limited period when intermittent skilled nursing care or therapeutic services are deemed medically necessary. Medicare Part A may cover part-time home health care if you are homebound and receive these services through a Medicare-certified home health agency.

What Are My Medicare Part A Costs?

Many people are eligible to receive Medicare Part A without a premium if they or their spouse worked the required amount of time under Medicare-covered employment, generally ten years or 40 quarters, and paid Medicare taxes while working.

However, your Part A coverage may still include other costs, even after Medicare has paid its share. This may include deductibles, copayments, and coinsurance, which can change from year to year. Your costs may depend on the type of service you receive and how often you receive it.

Inpatient Hospital Care Costs in 2026

  • Medicare Part A deductible: $1,736 for each benefit period
  • $0 coinsurance for the first 60 days of each benefit period
  • $434 per day for days 61 through 90 of each benefit period
  • $868 per day for days 91 and beyond per each lifetime reserve day of each benefit period
  • You get up to 60 lifetime reserve days
  • After lifetime reserve days are used up, you are responsible for all costs

Skilled Nursing Facility Care Costs in 2026

  • $0 for days 1 through 20 for each benefit period
  • $217 per day for days 21 through 100 for each benefit period
  • Days 101 and beyond: you are responsible for all costs

Additional Medicare Plan Benefits

Did you know that some Medicare Advantage plans and Medicare Supplement plans might offer additional services beyond Medicare Parts A and B? For example, some Medicare Advantage plans include benefits like wellness programs and routine vision and dental benefits.

Medicare Parts A and B do not typically cover these supplementary benefits.

Contact us today to learn more about Medicare plans.

faq’s
Faq’s

Get the Answers
to Common Medicare Part A Questions

  • What is Medicare Part A?

    Medicare Part A is hospital insurance. It may help cover inpatient hospital care, skilled nursing facility care, nursing home care when skilled care is medically necessary, hospice care, and certain home health services.

  • Is Medicare Part A the same as Original Medicare?

    No. Medicare Part A is one part of Original Medicare. Original Medicare includes both Medicare Part A hospital insurance and Medicare Part B medical insurance.

  • Does Medicare Part A cover nursing home care?

    Medicare Part A may cover nursing home care for a limited time if skilled care is medically necessary. It does not cover custodial care alone, such as help with bathing, dressing, or other daily living tasks.

  • Does Medicare Part A cover home health services?

    Medicare Part A may cover part-time home health care if you are homebound and receive medically necessary skilled services through a Medicare-certified home health agency.

  • Do most people pay a Medicare Part A premium?

    Many people do not pay a Medicare Part A premium if they or their spouse worked and paid Medicare taxes for the required amount of time, generally ten years or 40 quarters.

  • What is the Medicare Part A deductible in 2026?

    For 2026, the Medicare Part A inpatient hospital deductible is $1,736 for each benefit period.

  • What does skilled nursing facility care cost in 2026?

    For 2026, skilled nursing facility care costs $0 for days 1 through 20, $217 per day for days 21 through 100, and all costs after day 100 for each benefit period.

  • Can Medicare Advantage or Supplement plans add benefits?

    Yes. Some Medicare Advantage and Medicare Supplement plans may offer benefits or cost support beyond Original Medicare. Benefits vary by plan and location.

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