Medicare Part A (Hospital Insurance) covers inpatient hospital care if you meet both of these conditions:
In certain cases, Part A also covers inpatient hospital care if the hospital's Utilization Review Committee approves your stay while you’re admitted.
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and if, or how much, Medicare will pay for them.
You pay this for each benefit period:
Hospitals are now required to make public the standard charges for all of their items and services (including the standard charges negotiated by Medicare Advantage Plans) to help you make more informed decisions about your care.
Medicare-covered inpatient hospital services include:
Medicare doesn't cover:
Inpatient mental health care in a psychiatric hospital is limited to 190 days in a lifetime.
Inpatient hospital care includes care you get in:
It also includes inpatient care you get as part of a qualifying clinical research study.
If you also have Part B, it generally covers 80% of the Medicare-approved amount for doctor’s services you get while you’re in a hospital.
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