Inpatient hospital care
Medicare Part A (Hospital Insurance covers inpatient hospital care if you meet both of these conditions:
- You’re admitted to the hospital as an inpatient after an official doctor’s order, which says you need inpatient hospital care to treat your illness or injury
- The hospital accepts Medicare
Your costs in Original Medicare
In each benefit period , you pay:
- A $1,600 deductible ($1,632.00 in 2024).
- Days 1–60: $0 after you meet your Part A deductible.
- Days 61–90: A $400 coinsurance amount each day ($408 in 2024).
- After day 90: An $800 coinsurance amount each day while using your 60 lifetime reserve days ($816 in 2024).
After you use all of your lifetime reserve days, you pay all costs.
What it is
Medicare-covered inpatient hospital services include:
- Semi-private rooms
- General nursing
- Drugs (including methadone to treat an opioid use disorder)
- Other hospital services and supplies as part of your inpatient treatment
Medicare doesn't cover:
- Private-duty nursing
- Private room (unless medically necessary)
- Television or phone in your room (if there's a separate charge for these items)
- Personal care items (like razors or slipper socks)
Things to know
Part A only pays for up to 190 days of inpatient psychiatric hospital care in a freestanding psychiatric hospital during your lifetime.
Inpatient hospital care includes care you get in:
- Acute care hospitals
- Critical access hospitals
- Inpatient rehabilitation facilities
- Inpatient psychiatric facilities
- Long-term care hospitals
It also includes inpatient care you get as part of a qualifying clinical research study.
If you also have Part B, it generally covers 80% of the Medicare-approved amount for doctor’s services you get while you’re in a hospital.