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Understanding the Difference Between Medicare Part A and Part B

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We know that understanding Medicare can be confusing. That’s why Integrity Home Care + Hospice is here to help. Understanding the two parts of Medicare is important in order to make sure you are getting the coverage you need. 

When it comes to Medicare, we’re experts. In today’s blog, we want to break down the difference between Medicare Part A and Medicare Part B. 

Medicare Part A 

Medicare Part A is hospital insurance. It’s also sometimes called premium-free Part A. In general, Part A covers home health care, skilled nursing facility care, short-term nursing home care, hospice care, and inpatient care in a hospital

How much does Medicare Part A cost? 

  • Monthly premium: If you qualify for Part A, then Part A is free. 
  • Deductible: Each time you’re admitted to the hospital per benefit period costs are $1,556.
  • In-patient stays
    • Days 1-60: $0 after you pay your Part A deductible
    • Days 61-90: $389/day
    • Days 91-150: $778/day while using your 60 lifetime reserve days
    • After day 150: You pay all costs

Medicare Part A qualifications 

  • You’re 65 years or older
  • You receive or are eligible to receive Social Security or Railroad Retirement Board benefits 
  • You or your spouse had Medicare-covered government employment 
  • You’re under 65 but you receive Social Security or Railroad Retirement Board disability benefits 
  • You’re 65 or under and have end-stage renal disease 

Can I pay for Part A if I don’t qualify for it?

Yes. If you don’t qualify for Medicare Part A, you can pay for the coverage. In 2022, Part A premiums cost between $274 and $499. However, if you choose to purchase Part A, you most likely will be required to purchase Medicare Part B.

Related Post: The Ultimate Guide to Consumer Directed Services

Medicare Part B

Medicare Part B is medical insurance. It covers medically necessary services and preventative services. Examples of services Part B covers include doctor visits, screenings, yearly wellness checks, outpatient care, home health care, and the cost of durable medical equipment.

How much does Medicare Part B cost? 

  • Yearly deductible: In 2022, the yearly deductible was $233
  • Monthly premium: In 2022, the monthly premium started at $170.10. Depending on your income, it could be higher. 
  • Costs for services: You’re responsible for 20% of the cost per service. However, most preventative services are free

Medicare Part B qualifications 

If you qualify for Medicare Part A, then you’ll automatically qualify for Part B. 

Avoid the Part B late enrollment penalty

Did you know that there is a financial penalty if you are eligible for Part B and don’t sign up for it? That’s right. For each year you fail to sign up for Part B, you’ll pay an extra 10% for each year you were eligible and failed to sign up. And it’s not a one-time fee. So make sure to sign up for Part B when you’re eligible.

Integrity Home Care + Hospice Is a Medicare Expert 

If you need hospice, home health care, or home care and have questions about Medicare, give us a call. We can help you sign up for Medicare and make sure you get the care you need. We’re only a click or phone call away.