Plan A is basic to all medicare coverage. It is an individual option as well as a part of all enhanced optional coverage. Here is an outline that includes what Medicare Plan A covers and how a Medigap Plan A may be utilized with it. As always . your questions are welcomed! Call me, Kathy Hope, at 800-792-9114.
Plan A Coverage
Plan A Coverage
Is Included In All 10 Plans
Hospitalization:
Medicare Part A pays for hospitalizations for the 1st 60 days but only pays a portion of the daily costs from the 61st day through the 150th day. You must pay the coinsurance amounts for those days.
Medigap Plan A pays the coinsurance amount for those days and provides an additional 365 lifetime days.
Blood:
Medicare pays for all blood that is medically necessary except for the first three pints in each calendar year.
Medigap Plan A pays for the first three pints of blood not paid for by Medicare.
Medical Expenses:
Generally Medicare Part B pays for 80% of a predetermined amount (called the "Medicare approved" amount) for each procedure, supply, or service billed by your doctor or other provider that is not a hospital.
Medigap Plan A pays the coinsurance (generally 20% of the "Medicare approved" amount) under Medicare Part B.
Note the definitions of deductible & co-insurance
Deductible - must be paid before medicare activates.
Co-insurance - After deductible and paid in addition to medicare covera