What is Part A Hospital & Part B MD Visits
How does it work, what is covered?

Medicare is a Health Insurance Program for people 65 years of age and older…, it’s the nation’s largest health insurance program and  covers nearly 40 million Americans.   

Part A (Hospital Insurance) Helps pay for care in hospitals as an inpatient,… skilled nursing facilities, hospice care, and some home health care, but not Long Term Care.   Most people get Part A automatically when they turn age 65 at no charge, since they or a spouse paid Medicare taxes while they were working.  You need to sign up close to your 65th birthday, even if you will not be retired by that time. (If you are getting Social Security benefits when you turn 65, your Medicare Hospital Benefits – Part A – start automatically.) 

Learn More==>  Medicare and You #10050

Medi Gap Summary of Benefits – Scroll to the chart

Instant Medi-Gap Quotes

Part B (Medical Insurance) Helps Pay For Doctors’ services, outpatient hospital care, and some other medical services that Part A does not cover, such as the services of physical and occupational therapists, and some home health care, but not Long Term Care. Part B helps pay for these covered services and supplies when they are medically necessary.

Links, Resources & Other Pages in this section

Click here for Medicare A & B enrollment & information.

Medicare and You official publication from CMS

Part C Medicare Advantage Plans  – Managed Care  (like HMOs), and Medicare Private Fee-for-Service Plans

Part D Rx Prescriptions.

Medi Gap – Supplemental  Policies

Guide to Choosing a Hospital # 10181

United States Code – Medicare  law.cornell.edu/Part A  B  D   C   l

What Plan G pays in addition to Medicare Parts A & B
Check our Carrier Pages for the latest Info
Anthem Blue Cross
Blue Shield – Medi-Gap


Medicare & You – Federal Publication

Federal Rights to buy a Medi-Gap Policy

Federal Rights to buy a Medi-Gap Policy  - 02110 

See also CA Rights 

Video Introduction by Steve done circa 2013 double check any facts or benefits

5 comments on “What’s Covered in Part A Hospital & B Doctor Visits?

  1. If I stay overnight in a hospital, doesn’t that make me an inpatient, so that I can then qualify for Skilled Nursing care, etc?

    • Am I an inpatient or outpatient?

      Staying overnight in a hospital doesn’t always mean you’re an inpatient. Your doctor must order your hospital admission and the hospital must formally admit you for you to be inpatient. Without the formal inpatient admission, you’re still an outpatient, even if you stay overnight in a regular hospital bed, and/or you’re getting emergency department services, observation services, outpatient surgery, lab tests, or X-rays. You or a family member should always ask the hospital and/or your doctor if you’re an inpatient or an outpatient each day during your stay, since it affects what you pay and can affect whether you’ll qualify for Part A coverage in a skilled nursing facility.

      A “Medicare Outpatient Observation Notice” (MOON) is a document that lets you know you’re an outpatient in a hospital or critical access hospital. You must receive this notice if you’re getting observation services as an outpatient for more than 24 hours. The MOON will tell you why you’re an outpatient receiving observation services, rather than an inpatient. It will also let you know how this may affect what you pay while in the hospital, and for care you get after leaving the hospital. Citation Medicare & You 10050 or Medicare Benefits 10116 See links above

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