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Medicare Parts A & B Benefits
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Medicare Part A - hospital insurance
Part A Medicare is provided at no charge to anyone disabled or over the age of 65 who has
paid Medicare taxes for at least 10 years. It covers the hospitalization costs, over and above
your deductible, for the first 60 days of your hospital stay. From there, Medicare pays all
costs above your co-pay until the 90th day in the hospital.
If you were in the hospital for at least three days, Medicare Part A will cover the approved
costs of your stay in a nursing home for the first 20 days of care. After that, it pays for all
costs over your co-insurance payments up to the 100th day.
Blood transfusions are also covered by Medicare, after the first three pints of blood.
If it is determined that your condition is incurable and you would prefer not to stay in a
hospital, Medicare will pay for hospice care, with limits on outpatient drugs and inpatient
respite care. Hospice care provides a more comfort-based approach, preferring support,
therapy and pain-killing drugs to surgery, hospitalization and traditional medicine.
Home health care as well as 80 percent of medical equipment costs are also covered by
Medicare.
Medicare Part B - doctor, outpatient and clinical services
To obtain Medicare Part B coverage, you must pay a premium of about $54 a month. This
coverage pays for 80% of approved doctor and outpatient services. You will be responsible
for the remaining 20%. Be aware, however, that not all doctors accept Medicare. Check with
your doctor before you receive services. Medicare Part B also covers medical tests, lab
work, biopsies, and blood work as well as blood transfusions after the first three pints,
home medical care and 80% of the cost of home medical equipment. If you don't enroll in
Part B at the time you turn 65, you can enroll later, but for each year you put it off the
premium will increase 10%.
Medigap is supplemental private insurance that will pay for any costs not covered by
Medicare Plan B. If you don't sign up for Medigap at age 65, you can enroll later, but you will
be subject to underwriting, which may be a problem if you are in poor health or have
chronic conditions. Signing up at age 65 is your best bet. That way, you are guaranteed to
get the insurance at the lowest cost, and no one can take it away.
