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Home / Medicare Insurance / Medicare Part A Cost, Eligibility, Benefits & More
Medicare Insurance

Medicare Part A Cost, Eligibility, Benefits & More

By:Michael Quinn Published onMay 5, 2020January 3, 2025 Updated onJanuary 3, 2025

Medicare Part A

When you begin Original Medicare, you are enrolled into Medicare Part A automatically. Part A is one of the 3 parts of Original Medicare and is your hospital insurance. More specifically, it provides inpatient care coverage. This includes care you’ll receive when you’re in a Skilled nursing facility (SNF), hospital, and sometimes — at home.

In this article we’ll discuss:
  • Medicare Part A
  • Medicare Part A Eligibility
  • Medicare Part A Benefits
  • Parts A and B Benefits
  • When can I enroll in Part A?
  • how much does medicare cost per month?

Medicare Part A Eligibility

Not everyone is eligible for Medicare Part-A. Your eligibility will be based on one of the following:

  • You must be age 65 or older
  • Eligible to receive Social Security
  • Eligible to receive Railroad Retirement Board Benefits

Medicare Part A Benefits

The following is a breakdown of your benefits. It shows you what Medicare pays. You are responsible for the remaining costs unless you have a Medicare Supplement plan to cover these expenses.

The Top 6 benefits of Part-A:

  1. Inpatient hospital care
  2. Long-term hospital care
  3. Inpatient rehab
  4. Home health care
  5. Skilled nursing facility care (SNL)
  6. Hospice care

Part A Benefits

ServicesMedicare Pays
First 3 pints$0
Additional amounts100%
ServicesMedicare Pays
First 60 daysAll but $1,676
61st through 90th dayAll but $419 a day
91st day & after (60 Reserve Days)All but $838 a day
After Reserve (Additional 365 Days)$0
Beyond the Additional 365 Days$0
ServicesMedicare Pays
First 20 daysAll approved amounts
21st through 100th dayAll but $209.50 a day
91st day & after (60 Reserve Days)All but $838 a day
101st day and after$0
ServicesMedicare Pays
Must meet Medicare’s requirements. Including a doctor’s certification of terminal illness.All but very limited Copayment Coinsurance for outpatient drugs and inpatient Respite care.

Parts A and B Benefits

Both Part A and Part B benefits help cover the costs of home health care – Medicare approved services. 

Below is a breakdown of benefits. It shows you what Medicare pays. You are responsible for the remaining costs unless you have a Medicare Supplement plan to cover these expenses.

Medicare Approved ServicesMedicare Pays
Medically necessary skilled care & medical supplies100%
Durable medical equipmentFirst $257 of Medicare approved amounts: $0
Durable medical equipmentRemainder of Medicare approved amounts: 80%

When can I enroll in Part A?

When someone receives benefits from Social Security, they are enrolled into Original Medicare automatically. 

You will not have to apply separately to get Part-A. 

3 months before you turn age 65, you should receive your Medicare card in the mail. If you qualify for Medicare due to disability, you should get your card on your 25th month of your disability.

What if I’m still working and don’t receive Social Security?

medicare part a

If you don’t receive Social Security benefits at age 65, you’ll have to sign up for your Medicare Part A by visiting the official Medicare website.

If you are not receiving Social Security income benefits (for example, if you are working) when you turn 65, then you will need to actively sign up for Medicare Part A. If you’re needing to apply for your Medicare Part A, you’ll have to visit the Social Security website or call them directly at 800-772-1213.

how much does medicare cost per month?

How much is your Medicare Part A Premium?

Most people will not have a premium if they’ve worked for 10 years or 40 quarters. If you have not worked for 40 quarters or 10 years, you can still pay for Part-A. 

The reason that most people don’t have a premium is that most people have been paying Medicare taxes throughout their working years. Your taxes were used make up for the costs of Part A when you start Medicare.

Having said that, Medicare will not start paying your hospital costs until you have paid your annual Deductible.

Medicare Help

Would you like expert help with any of your Medicare insurance needs? 

We’re here to help you from start to finish. Call our insurance experts at (888) 411-1329 for your FREE Medicare consultation!

Michael Quinn
Website

Michael Quinn is a seasoned Medicare insurance expert and licensed agent dedicated to simplifying the complexities of healthcare coverage. With over a decade of experience, he is a trusted advisor known for his compassionate guidance and commitment to empowering individuals. As the Cofounder of REMEDIGAP in 2013, Michael offers unbiased resources and personalized support to assist clients in making informed decisions.
His expertise has been recognized on reputable platforms such as USA Today and Nerdwallet, solidifying his reputation as a reliable and knowledgeable industry leader. With a Master's Degree in Communicative Disorders, Michael combines strong communication skills with a genuine passion for positively impacting lives through tailored insurance solutions.

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Content Editor

Michael Quinn

Michael Quinn is a seasoned Medicare insurance expert and licensed agent dedicated to simplifying the complexities of healthcare coverage. With over a decade of experience, he is a trusted advisor known for his compassionate guidance and commitment to empowering individuals. As the Cofounder of REMEDIGAP in 2013, Michael offers unbiased resources and personalized support to assist clients in making informed decisions. His expertise has been recognized on reputable platforms such as USA Today and Nerdwallet, solidifying his reputation as a reliable and knowledgeable industry leader. With a Master’s Degree in Communicative Disorders, Michael combines strong communication skills with a genuine passion for positively impacting lives through tailored insurance solutions.

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Written by Michael Quinn
Licensed Broker, REMEDIGAP Founder

Fact Checked by Joann Quinn
Chief Compliance Officer

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As a licensed insurance broker, REMEDIGAP upholds the principles of integrity in our editorial standards and ensures transparency in how we receive compensation from our insurance partners.

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Learn more about our editorial standards
Michael Quinn

Michael Quinn

Licensed Agent, REMEDIGAP Founder

Michael Quinn is a nationally licensed insurance expert with over a decade of experience and has helped over 1000 clients with their Medicare Supplement needs. Michael has been consulted as an expert insurance source for dozens of high-profile websites such as USA Today, Yahoo.com, NerdWallet, Bankrate, ThinkAdvisor, The Epoch Times, and many more.

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Joann Quinn

Licensed Agent, REMEDIGAP Founder

Joann Quinn is a nationally licensed insurance expert with over a decade of experience and has personally helped thousands of clients with their Medicare Supplement questions and needs. Joann has been consulted as a Medicare expert for high-profile websites and runs a very popular YouTube channel that focuses on understanding the complexities of Medicare.

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  • Information Center
    • Our Education Center

      Start your Medicare education with these resources

      Start Here
      Medicare Plans
      Medicare Basics

      The foundations of Medicare education

      Parts of Medicare

      Walkthrough Medicare Parts A, B, C and D

      Enrollment Periods

      Learn when you need to enroll

      Supplement Plans

      Learn about popular plans like Plan N, G & more

      Part D Drug Plans

      Learn about stand alone drug plans

      Advantage Plans

      Also known as Medicare Part C

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      Compare Supplement plans in your area

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