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
In certain cases, Part A also covers inpatient hospital care if the hospital's Utilization Review Committee approves your stay while you’re admitted.
You pay this for each
- $1,556 deductible ($1,600 in 2023)
- Days 1–60: $0
- Days 61–90: $389 coinsurance per day ($400 in 2023)
- Days 91 and beyond: $778 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime) ($800 in 2023)
- Each day after : All costs
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)
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
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.