• Home
  • Part A
    • Home Healthcare
    • Hospice
    • Inpatient Hospital Care
    • Skilled Nursing Facility
    • Nursing Home
  • Part B
    • Clinical Research
    • Ambulance services
    • Durable med. equipment
    • Mental health
  • Part D
  • Not Covered
    • Long term care
    • Most dental care
    • Eye exams (exc. apply)
    • Dentures
    • Cosmetic surgery
    • Massage therapy
    • Routine physical exams
    • Hearing aids
    • Concierge care
  • Blog
  • More
    • Home
    • Part A
      • Home Healthcare
      • Hospice
      • Inpatient Hospital Care
      • Skilled Nursing Facility
      • Nursing Home
    • Part B
      • Clinical Research
      • Ambulance services
      • Durable med. equipment
      • Mental health
    • Part D
    • Not Covered
      • Long term care
      • Most dental care
      • Eye exams (exc. apply)
      • Dentures
      • Cosmetic surgery
      • Massage therapy
      • Routine physical exams
      • Hearing aids
      • Concierge care
    • Blog
  • Home
  • Part A
    • Home Healthcare
    • Hospice
    • Inpatient Hospital Care
    • Skilled Nursing Facility
    • Nursing Home
  • Part B
    • Clinical Research
    • Ambulance services
    • Durable med. equipment
    • Mental health
  • Part D
  • Not Covered
    • Long term care
    • Most dental care
    • Eye exams (exc. apply)
    • Dentures
    • Cosmetic surgery
    • Massage therapy
    • Routine physical exams
    • Hearing aids
    • Concierge care
  • Blog

Inpatient hospital care

 Medicare Part A (Hospital Insurance) covers inpatient hospital care if you meet both of these conditions: 


  • You’re admitted to the hospital as an inpatient after an  official doctor’s order, which says you need inpatient hospital care to  treat your illness or injury
  • The hospital accepts Medicare


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 costs in Original Medicare


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:


  • $1,600 deductible
  • Days 1–60: $0  coinsurance 
  • Days 61–90: $400 coinsurance per day 
  • Days 91 and beyond: $800 coinsurance per each "lifetime reserve  day" after day 90 for each benefit period (up to 60 days over your  lifetime) 



 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.     


What it is


Medicare-covered inpatient hospital services include:


  • Semi-private rooms
  • Meals
  • General nursing
  • Drugs (including methadone to treat an opioid use disorder)
  • Other hospital services and supplies as part of your inpatient treatment


Medicare doesn't cover:


  • Private-duty nursing
  • Private room (unless medically necessary)
  • Television or phone in your room (if there's a separate charge for these items)
  • Personal care items (like razors or slipper socks)


Things to know


Inpatient mental health care in a psychiatric hospital is limited to 190 days in a lifetime.

Inpatient hospital care includes care you get in:


  • Acute care hospitals
  • Critical access hospitals
  • Inpatient rehabilitation facilities
  • Inpatient psychiatric facilities
  • Long-term care hospitals


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.


Copyright © 2024 Top Medicare Benefit - All Rights Reserved. Powered by Outpatient Sales. **  Preferred Partner: Stoneridge Hospice


  • E Book
  • top hospice of the valley

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept