Inpatient hospital care
covers inpatient hospital care when all of these are true:
- 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.
- In certain cases, the Utilization Review Committee of the hospital approves your stay while you’re in the hospital.
Your costs in Original Medicare
You pay this:
- $1,484 for each .
- Days 1–60: $0 for each benefit period.
- Days 61–90: $371 coinsurance per day of each benefit period.
- Days 91 and beyond: $742 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime).
- Beyond : All costs.
What it is
Medicare-covered hospital services include:
- Semi-private rooms
- Meals
- General nursing
- Drugs as part of your inpatient treatment (including methadone to treat an opioid use disorder)
- Other hospital services and supplies as part of your inpatient treatment
Things to know
Inpatient mental health care in a psychiatric hospital is limited to 190 days in a 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
- Inpatient care 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.
This doesn't include:
- Private-duty nursing
- Private room (unless )
- Television and phone in your room (if there's a separate charge for these items)
- Personal care items (like razors or slipper socks)
