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Medicare Part A
Medicare Part A covers:
- Inpatient hospital care
- Inpatient care in a skilled nursing facility for a limited number of days
- Hospice Services
Note: Part A, hospital insurance does not cover physician's services, even when they are received in a hospital.
Individuals eligible for Medicare Part A include:
- An individual age 65 or older who is eligible for RSDI or a Railroad Retirement annuity.
- An individual age 65 or older and ineligible for RSDI or Railroad Retirement benefits who is:
- A U.S. Resident, and
- A U.S. Citizen; or, a Non-citizen lawfully admitted for permanent residence with 5 years of continuous residence.
- Deemed insured, as determined by the Social Security Administration (SSA).
- An individual under age 65 eligible for disability based RSDI or Railroad Retirement benefits, and who has received such benefits for at least 24 consecutive months.
- An individual, any age, with end-stage renal disease requiring either a kidney transplant or dialysis. The individual must be one of the following:
- Currently receiving RSDI, or
- Railroad Retirement benefits, or
- Fully or currently insured, or
- The spouse or dependent child of an insured person.
Premiums
Medicare Part A is available to eligible individuals at no cost. An individual who does not qualify for free Part A can purchase Part A coverage through payment of a monthly premium if he/she meets all of the following conditions:
- Age 65 and older, and
- A U.S. Resident, and
- A U.S. Citizen; or a noncitizen lawfully admitted for permanent residence with 5 years of continuous residence, and
- Enrolled in Part B. Individuals who purchase Part A must purchase Part B.
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Note: A person does not have to be retired to get Medicare.
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- Medi-Cal (MC) pays the Part A premium for those individuals eligible for the Qualified Medicare Beneficiaries (QMB) Program or the Qualified Disabled Working Individual (QDWI) Program, if they do not already qualify for free Part A.
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