Double-check that your Medicare program is selected properly

Medicare is not a universal program. We make the process simple at DreamhealthQuotes so you can evaluate coverage options and choose the plans that are best for you. There is no requirement to sign up.

what does medicare cover

What does Medicare Part A cover?

The earliest component of the Medicare system is Original Medicare Part A, which covers hospital insurance. Upon meeting the qualifications, Part – A is a benefit available to every American citizen or lawful permanent resident who has lived in the country for at least five continuous years.

Consult your healthcare provider or Medicare directly to find out if the treatment you’re getting or want to get is covered by Medicare Part A.

Am I eligible for Medicare Part A? and do I have to pay a monthly premium?

Your specific situation will determine If you must pay a monthly payment for Medicare Part A or not. Here are some things to think about in this respect:

  • If you have worked for 10 years or more by the time you turn 65:
    • You probably won’t have to pay a monthly fee to receive Part A coverage. However, you might be eligible for a reduced Part A monthly premium if you’ve worked for fewer than ten years (but more than zero) by the time you turn 65.
  • If you’re 65 years old and meet the criteria below:
    • You already get retirement pensions from the Railroad Retirement Board or Social Security.
    • You are qualified for Social Security or RailRoad pensions, but you haven’t yet applied for them.
    • You or your spouse held a government job that entitled you to Medicare coverage.
  • If you are under 65 and meet the following criteria:
    • You were granted 24 months of Social Security or Railroad Retirement Board disability benefits.
    • You match the criteria and have end-stage renal disease (ESRD).
    • You match the prerequisites and have Lou Gehrig’s disease (also known as ALS or amyotrophic lateral sclerosis).

Gap Costs of the Medicare Part A Coverage

Services that are not covered by Medicare Part A are referred to as falling into the “coverage gap.” By 2023, if you require hospitalization, you will be liable for covering the following coverage gaps:

  • Deduction of $1,600 for each benefit period
  • Days 61-90: Each benefit period’s coinsurance is $400 per day; the first 60 days are coinsurance-free.
  • Days 91 and later: After day 90 for each benefit period (up to 60 days in your lifetime), there is a $800 coinsurance fee per “lifetime reserve day”.
  • Beyond days of lifetime reserves: You will incur all expenses.

Services Covered in Medicare Part A

Services Covered in Medicare Part A

Services Not Covered in Medicare Part A

If you don't qualify for free or subsidized coverage, how much will Part A cost?

Those who do not meet the requirements for premium-free or heavily discounted Medicare Part A coverage must pay a monthly premium.

The amount you actually pay will depend on how many quarters you have worked and paid into the Medicare fund. You will most likely pay up to $506 per month for 2023. How much your monthly premium will be is shown here:

  • Your Part A premium (for 2023 onwards) will be $506/month if you paid Medicare taxes for fewer than 30 quarters.
  • If you paid Medicare taxes for 30 to 39 quarters, your Part A premium (for 2023 onwards) will be $278/month.

Generally speaking, in order to purchase Part A, you must also:

  • Be enrolled in Medicare Part-B.
  • Pay both Part A and Part B premiums on a monthly basis.

Enrolling in Medicare Part A

If you currently get Social Security payments, Medicare Part A will be registered for you automatically. You must enroll in Part A and Part B if you are over 65 or will turn 65 within the next three months.

We can assist you in determining whether you are receiving the necessary coverage. There is no requirement to sign up.

enrolling in medicare part A

Enrollment Periods

Remember that your monthly premium could increase by 10% if you don’t sign up for Medicare Part A when you become eligible.

You have a seven-month window to enroll in Part A when you first become eligible for Medicare. This window covers the three months leading up to your 65th birthday, the month of your 65th birthday, and the three months immediately following your 65th birthday. You should be aware that your Part A coverage will not begin until the month you turn 65 or the three months after, resulting in a coverage gap. If you don't enroll in Part A when you initially become eligible, you might be required to also pay a late enrollment fee.

The annual general enrollment period for Medicare Part A (and Part B) runs from January 1 to March 31. You may enroll throughout this time if:

  • You didn't enroll when you first became eligible (you might have to pay a late enrollment penalty, which would increase your premium)
  • You are not entitled to Special Enrollment.
You might be able to enroll in a plan during a SEP if you have missed out on your Initial Enrollment Period, and if you have, you normally won't be penalized for enrolling after the deadline. You might be qualified if: 1. You have a SEP that allows you to enroll in Part A and/or Part B whenever you choose if the following conditions are met: -- You or your spouse (or a family member if you have a disability) are employed. -- You are protected by a group health plan through your employer or union as a result of that employment. 2. You have an eight-month SEP that begins at one of the following timeframes (whichever occurs first) to sign up for Part A and/or Part B: -- The month following the conclusion of employment. -- The month following the termination of current employment-based group health insurance. 3. If you are doing volunteer work in another country, you might be eligible for a Special Enrollment Period for Plan A and Plan B.

Utilize DreamHealthQuotes to Research Your Medicare Part A Options

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