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What's Covered under Medicare

Part A helps cover your inpatient care in hospitals. This includes Critical Access Hospitals and skilled nursing facilities (not custodial or Long-term Care). It also helps cover hospice care and home health care. You must meet certain conditions to get these benefits.

If you aren't sure if you have Part A, look on your red, white, and blue Medicare card (see sample card below). If you have Part A, "HOSPITAL (PART A)" is printed on your card.


Sample Medicare Card .
Note:
Your card may be slightly different.
It's still valid.


Cost:
Most people automatically get Part A coverage without having to pay a monthly payment, called a Premium . This is because they or a spouse paid Medicare taxes while working.

If you don't automatically get premium-free Part A, you may be able to buy it if
  • you (or your spouse) aren't entitled to Social Security because you didn't work or didn't pay enough Medicare taxes while you worked and you are age 65 or older, or
  • you are disabled but no longer get premium-free Part A because you returned to work.


Information about purchasing Part A .
For the 2013 Part A premium amount for people who buy Part A, see Your 2013 Monthly Premiums for Medicare .


For most people, if you buy Part A coverage, you must also enroll in Part B and pay the Part B premium.

If you have limited income and resources, your state may help you pay for Part A and/or Part B (see Medicare Savings Programs (help from Medicaid paying Medicare premiums) ). For more information, visit www.socialsecurity.gov on the web or call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.

Questions or Complaints Regarding Medicare .
If you have a question or complaint about the quality of a Medicare-covered service, call your local Quality Improvement Organization. Visit www.medicare.gov, or call 1-800-MEDICARE (1-800-633-4227) to get their telephone number. TTY users should call 1-877-486-2048.

(Primary Source: Centers for Medicare and Medicaid Services - Medicare and You Handbook. This content may have been added upon by Q1Group LLC to include further examples, explanations, and links.)
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