|
This and succeeding sections outline the coverage for "Original
Medicare" Part A (Hospital Insurance), Part B (Medical
Insurance); Part C ("Medigap"/Supplemental Insurance);
Part D (Prescription Drugs); and common Medicare Advantage
Plans.
Since the topic includes many details and options we have
presented the basics to help you understand the coverage.
Please research all the details applicable to your location,
in more depth, before selecting and enrolling in a specific
Plan.
Part A (Hospital Insurance) Covered Services
-
Blood: Starting
with the 4th pint
of blood you get
at a hospital or
skilled nursing
facility during
a covered stay.
The first three
pints are not covered.
-
Home Health
Services: Limited
to reasonable
and necessary
part time or
intermittent
skilled care
or continuing
need for physical
therapy, or speech-related
pathology, ordered
by the doctor
and provided
by a Medicare-certified
home health agency.
Home health services
may also include
medical social
services, durable
medical equipment
(such as wheelchairs,
hospital beds,
oxygen, and walkers),
and medical supplies
for use at home.
-
Hospice
Care: For
people with a
terminal illness
who are expected
to live 6 months
or less if the
disease runs
its normal course.
Coverage includes
drugs, medicinal
and support services
from a Medicare
approved hospice,
and other services
not otherwise
covered by Medicare
(such as grief
counseling) for
terminal and
related conditions.
Hospice care
is usually given
in your home
(or other facility
where you may
live). Medicare
covers some short-term
inpatient stays
(for pain and
symptom management)
and inpatient
respite care
(care given to
a hospice patient
so that the usual
caregiver can
rest).
-
Hospital
Stays: Semi-private
room, meals,
general nursing,
and other hospital
services and
supplies. This
includes inpatient
you get in acute
care hospitals,
critical access
hospitals, inpatient
care as part
of a clinical
research study,
and mental health
care. This doesn't
include private-duty
nursing or a
television or
telephone in
your room. It
also doesn't
include a private
room unless medically
necessary. Inpatient
mental health
care in a psychiatric
hospital is limited
to 190 days in
a lifetime.
-
Skilled Nursing Facility Care: Semi-private
room, meals, skilled
nursing and rehabilitative services, and other
services and supplies (only after a 3-day
minimum inpatient hospital stay for a related
illness or injury) for up to 100 days in a
benefit period. To get care in a skilled nursing
facility, you must need skilled care like
intravenous injections or physical therapy.
Medicare doesn't cover long-term care or custodial
care in this setting.
GO TO ==> What
Is Covered - Part
B or
Back to Main
Index
|