Medicare 2004 Part A

Subscribe to our

LTC ALERT Newsletter

for important news and info - it's FREE!

sign up now

Medicare Part A: 2004

printer friendly version

Medicare Part A:
Hospital-Insurance Covered Services for 2004 click here for Part B info

Services	Benefit	Medicare Pays	You Pay
HOSPITALIZATION Semi-private room and board, general nursing, and other hospital services and supplies.	First 60 days 61^st – 90^th day 91 to 150^th day* Beyond 150^th day	All but $876 All but $219 a day All but $438 a day Nothing	$876 $219 per day $438 per day All costs
SKILLED NURSING FACILITY Semi-private room and board, general nursing, skilled nursing, and rehabilitative services and other services and supplies**	First 20 days Additional 80 days Beyond 100 days	100% of approved amount All but $109.50 a day Nothing	Nothing Up to $109.50 a day All Costs
HOME HEALTH CARE Part-time or intermittent skilled care, home health aide services, durable medical equipment and supplies, and other services.	Unlimited as long as you meet Medicare conditions	100% of approved amount; 80% of approved amount for durable medical equipment	Nothing for services; 20% of approved amount for durable medical equipment
HOSPICE CARE	For as long as doctor certifies need	All but limited costs for outpatient drugs and inpatient respite care	Limited costs for outpatient drugs and inpatient respite care
BLOOD	Unlimited if medically necessary	All but first 3 pints per calendar year	First 3 pints***

2004 Part A monthly premium: Most people do not pay a premium because they or a spouse has 40 or more quarters of Medicare covered employment. However, the premium is $343.00 per month if you are not otherwise eligible for premium-free hospital insurance and have less then 30 quarters of Medicare covered employment. The Part A premium is $189.00 for those individuals having 30-39 quarters of Medicare covered employment.

Source: Health Care Financing Administration, www.medicare.gov

*This 60-reserve-days benefit may be used only once in a lifetime.
**Neither Medicare nor private Medigap insurance will pay for most nursing home care.
***Blood paid for or replaced under Part B of Medicare during the calendar year does not have to be paid for or replaced under Part A
MEDICARE PART B: MEDICAL INSURANCE-COVERED SERVICES FOR 2004

Medicare: The New Laws - get info on the new program passed Dec 2003

For more info on Medicare or if you have other questions, please call us at 631-393-5039 or email us at info@ltcamerica.com.