What does Medicare Part A cover?

Medicare covers services (like lab work, surgeries, and doctor visits) and supplies (like  mobility wheelchairs and walkers) considered medically necessary to treat a disease or condition.

If you're in a Medicare Advantage Plan or other Medicare plan, you may have different rules, but your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain settings or for patients with certain conditions.

In general, Part A covers: 

  • Hospital care
  • Skilled nursing facility care
  • Nursing home care (as long as custodial care isn't the only care you need)
  • Hospice
  • Home health services


If I Qualify for Medicare Part A Does it Cost Me Anything?
In many cases Medicare Part A requires no premium payments. If an individual qualifies for Social Security benefits when he reaches age 65 he is not required to pay any Medicare Part A premiums. He has already paid sufficient Medicare taxes during his work years to cover the cost of his Medicare Part A.

Do I Qualify for Medicare Part A Even If I Don’t Qualify for Social Security Benefits?

Yes, everyone who reaches the age of 65 qualifies for Medicare Part A. However, for those persons who do not meet the minimum requirements to collect Social Security benefits a premium is charged for Medicare Part A. Depending on the amount of Medicare taxes that have or have not been paid during an individual’s working years he may be required to pay up to $443.00 in premiums per month.


Can I Qualify for Medicare Part A If I Am Not a Citizen but I Am 65?
Yes, a person who has a green card can qualify for Medicare Part A if he has lived in the United States for the five years leading up to his sixty-fifth birthday. He must have lived in the United States continuously for the preceding five years and may be required to pay a premium based on his work history.


Medicare easy guide
Sunshine State Life & Health Insurance Facebook page

Note: Please fill out the fields marked with an asterisk.