What does Medicare Part A cover?


Quick Answer

Medicare Part A covers hospital care, home health services, skilled nursing care, nursing home care and hospice. Services such as doctor visits, surgeries and lab tests, as well as supplies such as wheelchairs and walkers are covered under Part A if deemed “medically necessary” to treat a condition or disease.

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What does Medicare Part A cover?
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Full Answer

Medicare Part A provides coverage for a number of home health services if they are deemed medically necessary by a qualified doctor. Covered home health services include occupational therapy, medical social services, durable medical equipment, speech pathology services, skilled nursing gear and part-time home aide services. Inpatient care received through mental health facilities, long-term care hospitals, rehabilitation facilities, critical access hospitals and acute care hospitals are also covered under Part A.

Part A coverage is referred to as Hospital Insurance. The majority of U.S. citizens are automatically eligible for Part A coverage on the first day of the month of their 65th birthday. Part A is free if the individual worked and paid Social Security taxes for at least 10 years or 40 calendar quarters. A monthly premium is charged if the individual has not satisfied these work and tax requirements. Individuals may qualify for Part A coverage before their 65th birthday if they are disabled or suffering from end stage renal disease or ALS.

Medicare Part A does not provide coverage for the majority of dental work, custodial or long-term care, cosmetic surgery, acupuncture, dentures, routine foot care, hearing aids and routine eye examinations.

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