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Monday, 27 January 2014 08:22

Medicare info booklet available online

Written by  Team SCPA

Medicare information booklet is available online in PDF format.


PAGE 32: Section 3--Find Out if Medicare Covers Your Test, Service, or Item

Hospital care (inpatient)
Medicare covers semi-private rooms, meals, general nursing, and
drugs as part of your inpatient treatment, and other hospital services
and supplies. This includes care you get in acute care hospitals,
critical access hospitals, inpatient rehabilitation facilities, long-term
care hospitals, inpatient care as part of a qualifying clinical research
study, and mental health care. This doesn’t include private-duty
nursing, a television or phone in your room (if there’s a separate
charge for these items), or personal care items, like razors or slipper
socks. It also doesn’t include a private room, unless medically
necessary. If you have Part B, it covers the doctor’s services you get
while you’re in a hospital.
■■You pay a deductible and no coinsurance for days 1–60 of each
benefit period.
■■You pay coinsurance for days 61–90 of each benefit period.
■■You pay coinsurance per “lifetime reserve day” after day 90 of each
benefit period (up to 60 days over your lifetime).
■■You pay all costs for each day after you use all of your lifetime
reserve days.
■■Inpatient psychiatric care in a freestanding psychiatric hospital is
limited to 190 days in a lifetime.

Staying overnight in a hospital doesn’t always mean you’re an
inpatient. You only become an inpatient when a hospital formally
admits you as an inpatient, after a doctor orders it. You’re still an
outpatient if you’ve not been formally admitted as an inpatient,
even if you’re getting emergency department services, observation
services, outpatient surgery, lab tests, or X-rays. You or a family
member should always ask if you’re an inpatient or an outpatient
each day during your stay, since it affects what you pay and whether
you’ll qualify for Part A coverage in a skilled nursing facility.

For more information, visit to view
the fact sheet “Are You a Hospital Inpatient or Outpatient? If You
Have Medicare—Ask!” You can also call 1-800-MEDICARE
(1‑800‑633‑4227) to find out if a copy can be mailed to you.
TTY users should call 1-877-486-2048.


NOTE: See definitions on pages 145–148 of PDF booklet.



Thanks to Jackie Cartwright. Posted by Team SCPA.



Last modified on Monday, 27 January 2014 08:34
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