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You are eligible for Medicare Part A by working and paying taxes for at least 10 years. There is no additional cost for part A if you have worked the minimum of 10 years. For individuals who do not meet this requirement they will have an additional premium cost if you buy Part A, you'll pay up to $471 each month. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $471. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $259. If you were married and your spouse met the requirements you can take Part A under them. Your receive Part A automatically when you turn 65 years old.
When you are admitted to the hospital Medicare Part A is the benefit used to pay some of the costs.
If you need rehabilitation or intermittent nursing care skilled nursing, in a skilled nursing facility (NSF), Medicare pays for the first 20 days, after that from days 21 thru 100 there is a $185.50 daily co-pay. You have 100 days per year of NSF coverage.
It is important to note, THERE IS NO MAXIMUM OUT OF POCKET (MOOP) for Part A. If you maxed out the benefit it would cost over $40,000.
*If you are in the hospital under observation is not the same as admitted, observation falls under Part B.
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