Chapter Ten: Medicare Part A

After the deductible has been met, Medicare Part A will pay all approved charges for:

Days 1 through 60 During days 1 through 60 of each benefit period, a deductible must be paid. Medicare covers all approved charges after the deductible has been met.

For Medicare Part A, what period of time must coinsurance be paid for a hospital stay?

Days 61 through 90 Coinsurance must be paid for days 61 through 90 of a benefit period. All approved charges are paid after daily coinsurance is paid.

Part A of Medicare covers:

Hospital bills Part A of Medicare covers hospital costs.

What medical service is provided by Part A of Medicare?

Hospital insurance Part A of Medicare provides hospital insurance.

Brian is insured under Medicare Part A and enters the hospital for surgery. Assuming he has not yet tapped into his lifetime reserve, what is the maximum number of days that Medicare will pay for his hospital bills?

150 days After an initial deductible is met, Medicare pays for all covered hospital charges for the first 60 days of hospitalization. The next 30 days are also covered, but the patient will be required to contribute a certain daily amount. If, after these first 90 days the patient is still hospitalized, they can tap into a lifetime reserve of an additional 60 days, paying a higher level of daily co-payments. Consequently, a patient who has not yet tapped into the lifetime reserve days could have up to 150 days of Medicare coverage for 1 hospital stay.

What is the blood deductible?

3 pints annually under Medicare Part A or Part B The Medicare blood deductible is three pints per year. If the blood deductible is met under Part A, it does not need to be met under Part B.

An individual who is not eligible for premium-free Medicare Part A coverage may apply for coverage during which of the following enrollment periods?

Initial enrollment period General enrollment period Special enrollment period Individuals who are not eligible for premium-free Medicare Part A coverage may apply for coverage during the following enrollment periods: initial, general or special.

People who purchase Medicare Part A coverage are usually required to also purchase:

Medicare Part B People who purchase Medicare Part A coverage are usually required to also purchase Medicare Part B coverage and pay monthly premiums for both Part A and Part B.

Jamie will turn 65 in September. Which of the following statements is true regarding her enrollment in Medicare Part A?

She will be automatically enrolled on the first day of the month in which she turns 65 Jamie will be automatically enrolled in Medicare Part A on the first day of the month in which she reaches age 65, unless she declines coverage.

All the following are required to qualify for Medicare's nursing facility benefit, EXCEPT

The patient must meet stated income limits. There is no income limit on this covered service. All the rest are true.