What is the difference between Part A and Part B? Summary: When you are eligible for Medicare, it is usually Parts A and B of Medicare that you register for the first time. Parts A and B of the Medicare plan are the original Medicare plan. Part A of Medicare usually helps pay your expenses as an in-patient patient. Part B of Medicare can help pay for medical visits, preventive services, laboratory tests, medical equipment and supplies, and more.
What is Medicare Part A?
Part A of Medicare is hospital insurance. Part A generally covers hospital stays, skilled nursing, hospital care and limited home health care services. As a rule, you pay a deductible and co-insurance and/or co-countries.
Read More: Medicare Advantage Part D
Do you have to pay a Part A premium?
Many people do not pay a monthly premium for Part A. Medicare. For example, if you worked at least ten years (40 quarters) while paying taxes, you do not pay a Part A premium. If you worked for less than 30 quarters, you usually pay $471 per month in 2021. If you have worked more than 30 but less than 40 quarters, your premium is $259 per month in 2021.
What is Medicare Part B?
Part B of health insurance is health insurance. It generally covers services and elements such as:
- Doctor office visits
- Preventive services, such as certain tests and screenings
- Flu shots
- Pneumococcal shots
- Mental health care (outpatient)
- Alcohol use counseling
- Physical therapy
- Diabetes screenings, supplies, and self-management therapy
- Durable medical equipment, such as wheelchairs
This is not a complete list. Part B can cover many different services and items, but some coverage rules apply. For example, providers must accept the allocation of the health insurance plan (a payment agreement with Medicare), and certain items and services must be medically necessary.
Under Part B, in most cases, you will pay 20% of the Medicare approved amount for each item or service. A deductible may also apply.
Do you have to pay a Part B premium?
The Part B premium may be the “standard” amount, or $148.50 in 2021. If your income exceeds a certain amount (based on your income tax returns two years ago), you can pay a higher Part B contribution.
Read More: Medicare Advantage (Part C)
Can you ever get both Part A and Part B coverage at the same time?
When hospitalized in a hospital, you can get coverage of parts A and B at the same time. For example, although Part A usually covers medically necessary surgical procedures and certain hospital expenses, Part B may cover medical visits while you are hospitalized. Did you know that there is another way to get your protection under Parts A and B? A Medicare Advantage diet offers these benefits, and often more. Most Advantage Medicare plans include drug coverage Learn more about Advantage Medicare plans. You must pay the Medicare Part B premium when you have a Medicare Advantage plan, as well as any premium that the plan may collect. This information is not a complete description of the benefits. Contact the plan for more information. Limitations, co-payments and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year.