Medicare(2021) Basic Information

Medicare Part A (2021)

Part A is Hospital Insurance and covers cost associated with confinement in a hospital or skilled nursing facility. (see Medicare Part A)

When you are hospitalized for

1-60 Days
1-90 Days
91-150 Days
151 days or more
Skilled Nursing Confinement: When you are hospitalized for at least 3 days and enter a Medicare Approved skilled nursing facility within 30 days after a hospital discharge and are receiving skilled nursing care.

Medicare Covers

1-60 Days
Most confinement costs after the required Medicare Deductible
All eligible expenses, after the patient pays a per-day copayment
All eligible expenses, after patient pays per-day copayment. (These Are Liftetime Reserve Days Which may never be used again.)
Nothing
All eligible expenses for the first 20 days; then all eligible expenses, (if you qualify), for days 21-100, after patient pays a per day copayment.

You Pay

$1,484 Part A Deductible
$371/Day Coinsurance for days 60-90
$742/Day Coinsurnce for days 91 - 150
You Pay All Cost
After 20 days in Skilled Nursing Facilty Care you pay up to $185.50/Day

Medicare Part B (2021)

Part B is Medical Insurance and covers physicians services, outpatient care, test, and supplies. (see Medicare Part B)

On Expenses incurred for

Medical Expenses: Physicians services, inpatient, outpatient medical/surgical services, physical/speech therapy, diagnostic test.
Clinical Laboratory Services
Blood Test, Urinalysis
Home Health Care Part-time or intermittent skilled care, home health aide services, durable medical supplies and other services
Outpatient Hospital Treatment Services for the diagnosis or treatment of an illness or injury
Blood
On all Medicare-covered expenses, a doctor or other health care provider may agree to accept Medicare "assignment." This means the patient will not be required to pay any expense in excess of Medicare's "approved" charge. The patient pays only 20% of the "approved" charge not paid by Medicare. Physicians who do not accept assignment of a Medicare claim are limited as to the amount they can charge for covered services.

Medicare Covers

80% of approved amount
100% of approved amount
100% of approved amount; 80% of approved amount for durable medical equipment
Medicare payment to hospital based on hospital cost
After first 3 pints of blood, 80% of approved amount

You Pay $203 Annual Part B Deductible PLUS

20% of approved amount
Nothing for Services; 20% of approved amount for durable medical equipment
20% of Billed Amount
First 3 pints plus 20% of approved amount for additional pints