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Part A (Hospital) Cost Details

Note that all Medicare Advantage plans must cover these services.  Plan costs will vary from plan to plan so make sure to schedule an appointment with me and we can discuss your plan options. 


In Patient Hospital

Days 1-60 $0 Co-Insurance

Day 61-90 and beyond $ 371.00 Per Day

Day 91 and beyond -$742 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)

Beyond Lifetime Reserve Days – You are responsible for all costs


Home health care

 

$0 for home health care services.

20% of the Medicare-approved amount for Durable Medical Equipment (DME).


Hospice Care

$0 for hospice care.

You may need to pay a copayment of no more than $5 for each prescription drug and other similar products for pain relief and symptom control while you're at home. In the rare case your drug isn’t covered by the hospice benefit, your hospice provider should contact your Medicare drug plan to see if it's covered under Medicare drug coverage (Part D)

You may need to pay 5% of the Medicare-approved amount for inpatient respite care.

Medicare doesn't cover room and board when you get hospice care in your home or another facility where you live (like a nursing home).

 

Mental Health Inpatient Stay

$1,484 deductible for each benefit period.

Days 1–60: $0 coinsurance per day of each benefit period.

Days 61–90: $371 coinsurance per day of each benefit period.

Days 91 and beyond: $742 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.

20% of the Medicare-approved amount for mental health services you get from doctors and other providers while you're a hospital inpatient.

 
Skilled Nursing Facility Stay

Days 1–20: $0 for each benefit period 

Days 21–100: $185.50 coinsurance per day of each benefit period.

Days 101 and beyond: All costs.

 


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