Medicare Expenses

Coverage Details

Medicare Part A Expenses (2016)

BENEFIT MEDICARE PAYS YOUR RESPONSIBILITY
Hospital Confinement Per benefit period* Per benefit period*
First 60 days All but $1,288 (Part A deductible) $1,288
Days 61-90 All but $322 per day
(Part A coinsurance)
$322-$9,660
Days 91-150 All but $644 per day $644-$38,640
Blood
First 3 pints (blood deductible) Nothing YOUR TOTAL RESPONSIBILITY
Skilled Nursing Facility
(After a hospital stay for less than 3 nights)
Nothing YOUR TOTAL RESPONSIBILITY
(After 3 nights in the hospital)
First 20 days 100% of all costs $0
Days 21-100 All but $161 per day $161-$12,880
Beyond 100 days Nothing YOUR TOTAL RESPONSIBILITY
Non-Skilled Intermediate & Custodial Care
For chronically ill and aged who need help with activities of daily living. Nothing YOUR TOTAL RESPONSIBILITY
Hospice Care
Available for the terminally ill who elect to receive these services. All but a very limited co-insurance for outpatient drugs and inpatient respite care. MINIMAL CO-INSURANCE PAYMENT

* There can be multiple benefit periods per year. A new benefit period begins when you have been out of the hospital for 60 consecutive days.

Medicare Part B Expenses (2016)

BENEFIT MEDICARE PAYS YOUR RESPONSIBILITY
Physician Services and other Medical Expenses in or out of the hospital
Medicare approved amounts up to $166 Nothing
(Part B deductible)
$166
Medicare approved amounts over $166 80% 20% of costs
Covered charges in excess of Medicare approved amounts, up to any charge limitations established by state or federal law Nothing YOUR TOTAL RESPONSIBILITY
Blood
First 3 pints (blood deductible) Nothing YOUR TOTAL RESPONSIBILITY

Other services covered under Parts A and B

BENEFIT MEDICARE PAYS YOUR RESPONSIBILITY
Home Health care Medicare-Approved Services
Covered home care visits and medical supplies 100% $0
Durable Medical Equipment
Medicare approved amounts up to $166 Nothing
(Part B deductible)
$166
Medicare approved amounts over $166 80% 20% of costs
Expenses not covered by Medicare
Foreign Travel
Medically necessary emergency hospital and medical care Nothing YOUR TOTAL RESPONSIBILITY

WR 9003-3a

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