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Medicare

Consider What Medicare Does And Does Not Cover

Medicare (Part A) 1998 Hospital Insurance - Covered Services Per Benefit Period

Services

Benefit

Medicare Pays

You Pay

Hospitalization: Semiprivate room general nursing services and misc. hospital expenses and supplies, operating room and recovery room, aesthesia and rehab. services.

Medicare pays all covered costs for the first 60 days, except the first $764. For the 61st through 90th days, it pays all except $191 per day. There are also 60 nonrenewable "reserve days" which can be used when the first 90 days are past. Medicare pays all except the first $382 for each reserve day.

Post Hospital Skilled Nursing Facility Care (in a facility approved by Medicare): You must have been in the hospital for at least 3 days in a row and enter the facility within 30 days after having been discharged from the hospital.

First 20 days.

All costs.

Nothing.

Next 80 days.

All but $91.50 per day.

$91.50 per day.

Medicare and most private insurance will not pay for most nursing home care and you pay for custodial care.

Home heath care.

Unlimited as medically necessary.

Full costs.

Nothing.

Hospice care.

Two 90 day periods and one 30 day period.

All but limited costs for outpatient drugs and inpatient respite care.

Limited cost sharing for outpatient drugs and inpatient respite care.

Blood

Blood

All but first 3 pints.

For first 3 pints.

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Services	Benefit	Medicare Pays	You Pay
Hospitalization: Semiprivate room general nursing services and misc. hospital expenses and supplies, operating room and recovery room, aesthesia and rehab. services.	Medicare pays all covered costs for the first 60 days, except the first $764. For the 61st through 90th days, it pays all except $191 per day. There are also 60 nonrenewable "reserve days" which can be used when the first 90 days are past. Medicare pays all except the first $382 for each reserve day.
Post Hospital Skilled Nursing Facility Care (in a facility approved by Medicare): You must have been in the hospital for at least 3 days in a row and enter the facility within 30 days after having been discharged from the hospital.	First 20 days.	All costs.	Nothing.
	Next 80 days.	All but $91.50 per day.	$91.50 per day.
	Medicare and most private insurance will not pay for most nursing home care and you pay for custodial care.
Home heath care.	Unlimited as medically necessary.	Full costs.	Nothing.
Hospice care.	Two 90 day periods and one 30 day period.	All but limited costs for outpatient drugs and inpatient respite care.	Limited cost sharing for outpatient drugs and inpatient respite care.
Blood	Blood	All but first 3 pints.	For first 3 pints.