Medicare Part A is a health insurance plan funded and administered by the federal government. Together with Medicare Part B, it makes up what’s called “Original Medicare.” Most people who are 65 or older and some people younger than 65 are eligible for Medicare Part A coverage.
Your coverage may vary depending on where you live, but Medicare Part A coverage can be divided into four main areas:
Inpatient Hospital Care
If you’re eligible for Medicare Part A, you may receive coverage for a number of inpatient hospital services and supplies, such as:
Nursing Home Care
Usually, Medicare Part A covers your services at a skilled nursing facility (SNF) after any Medicare-covered inpatient stay at a hospital of three days or more. Examples of covered services may include:
Home Health Services
If you are “homebound” and your doctor determines you need home health care services, Medicare Part A may help pay for them. Some covered services may include (but are not necessarily limited to):
Keep in mind, the following services and supplies are NOT covered:
If your doctor diagnoses you with a terminal illness or condition and estimates that you have six or fewer months to live, Medicare Part A may cover your hospice care. This may include (but is not necessarily limited to):
To find out whether a health care service you need is covered by Medicare Part A, talk to a licensed agent. Your agent can tell you whether the service is covered by Medicare and which health care providers offer it in your area.
Most people who are eligible for Medicare Part A don’t have to pay a monthly premium. Some people call this “premium-free” Medicare Part A.
You may qualify for premium-free Medicare Part A coverage if one of the following describes your situation:
You may still qualify for premium-free Medicare Part A coverage if one of the following situations applies to you:
If you need to purchase Medicare Part A, the maximum monthly premium for the year 2020 is $458. You may pay less, depending on how long you’ve paid Medicare taxes. Generally, if you choose to buy Medicare Part A coverage, you must also have Medicare Part B insurance and pay a Part B premium, too.
The deductible for Medicare Part A health insurance is $1,408 per benefit period for inpatient hospital care.
You may also have to pay coinsurance for your care. Your coinsurance goes according to the following scale:
Generally speaking, you’re eligible for Medicare Part A benefits if one or more of the following descriptions applies to you:
If you’re enrolling in Medicare for the first time, you can enroll during your Initial Enrollment Period (IEP). Your Initial Enrollment Period begins three months before the month of your 65th birthday and ends three months after your birth month.
If you’re already on Original Medicare and want to enroll in an Aetna Medicare Advantage plan, you can do so during the Annual Enrollment Period (AEP), which starts October 15 and ends December 7 every year.
Under some circumstances, you may be able to enroll in an Aetna Medicare Advantage plan during a Special Enrollment Period. For example, if you’ve recently moved or if you’re currently living in a nursing home. Talk to one of our licensed agents today to see if your life circumstance applies.