How Much Will Medicare Part A Pay for Hospital Costs? (2024)

FAQs

How Much Will Medicare Part A Pay for Hospital Costs? ›

Days 1-60: $0 after you pay your Part A deductible. Days 61-90: $408 each day. In Original Medicare, these are additional days that Medicare will pay for when you're in a hospital for more than 90 days. You have a total of 60 reserve days that can be used during your lifetime.

Medicare Part A has a deductible of $1,632 in 2024 for each benefit period. Once your deductible is met, here's how coverage and coinsurance works: Days 1-60 of hospitalization: You owe $0 coinsurance. Days 61-90 of hospitalization: You owe $408 per day in 2024 for each benefit period.

Visit Medicare.gov/procedure-price-lookup to compare national average costs for procedures in certain settings. Ask your doctor, surgeon, or healthcare provider how much the surgery or procedure will cost, what kind of care or services you may need after your surgery or procedure, and how much you'll have to pay.

Does Medicare Part A Cover Emergency Room Visits? Medicare Part A is sometimes called “hospital insurance,” but it only covers the costs of an emergency room (ER) visit if you're admitted to the hospital to treat the illness or injury that brought you to the ER.

In general, Part A covers:

Inpatient care in a hospital. Skilled nursing facility care. Nursing home care (inpatient care in a skilled nursing facility that's not custodial or long-term care)

Does Medicare Part A Cover 100 Percent? For a qualifying inpatient stay, Medicare Part A covers 100 percent of hospital-specific costs for the first 60 days of the stay — after you pay the deductible for that benefit period.

In 2024, the MOOP for Medicare Advantage Plans is $8,850, but plans may set lower limits. If you are in a plan that covers services you receive from out-of-network providers, such as a PPO, your plan will set two annual limits on your out-of-pocket costs.

Generally, most vision, dental and hearing services are not covered by Medicare Parts A and B. Other services not covered by Medicare Parts A and B include: Routine foot care. Cosmetic surgery.

Medicare Part B covers 80 percent of the cost of doctor's visits for preventive care and medically necessary services. Not all types of doctors are covered. In order to ensure coverage, your doctor must be a Medicare-approved provider.

If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($174.70 in 2024). Social Security will tell you the exact amount you'll pay for Part B in 2024.

Does Medicare Part A cover surgery in the hospital? ›

Medicare Part A hospital insurance covers inpatient hospital care, skilled nursing facility, hospice, lab tests, surgery, home health care.

$0 for most people (because they or a spouse paid Medicare taxes long enough while working - generally at least 10 years). If you get Medicare earlier than age 65, you won't pay a Part A premium. This is sometimes called “premium-free Part A.”

Your doctor or other healthcare provider must order them as part of your treatment for a health problem. Medicare Part B (medical insurance) will generally cover an MRI if your doctor orders it as part of treating a medical problem. If you're a hospital inpatient, Medicare Part A may cover an MRI.

Medicare Part A cost

About 99% of Medicare enrollees get Medicare Part A for free. Those who don't qualify will pay between $278 and $505 per month in 2024, with the exact amount based on how much they or their spouse have paid in Medicare taxes.

Part B pays

Your inpatient hospital stay and, for most hospitals, all related outpatient services provided during the 3 days before your admission date. Your doctor services.

The Medicare Part A inpatient hospital deductible that beneficiaries pay if admitted to the hospital will be $1,632 in 2024, an increase of $32 from $1,600 in 2023.

You pay nothing for covered services the first 20 days that you're in a skilled nursing facility (SNF). You pay a daily coinsurance for days 21-100, and you pay all costs beyond 100 days. Visit Medicare.gov, or call 1-800-MEDICARE (1-800-633-4227) to get current amounts.

Generally, most vision, dental and hearing services are not covered by Medicare Parts A and B. Other services not covered by Medicare Parts A and B include: Routine foot care. Cosmetic surgery.