Medicare Part A in Georgia
Georgia Medicare Part A plans are the most popular insurance options amongst program beneficiaries. Medicare Part A is one half of the Original Medicare coverage option, which also includes Medicare Part B. Between Medicare Plan A and Plan B, the basic care and coverage is available to eligible petitioners in need. It is worth understanding how the Medicare Part A plans work in order to become familiar with the coverage options and costs associated. The Medicare Part A cost can fluctuate, which is why all beneficiaries should know in advance what to expect. Part A Medicare consists primarily of hospital insurance coverages, which when paired with Medicare Plan B, covers a bulk of the costs for health care services. For more information about Georgia Medicare Plan A costs and covered services, continue reviewing the information below.
Services Covered by Medicare Part A in Georgia
Part A Medicare coverage in Georgia is based on three main factors: federal and state laws, national coverage decisions and local coverage decisions. This means that while Medicare Plan A may have more generalized coverage options available, each state will have its own details regarding Medicare Part A plans. However, it is worth having an idea of what Medicare Part A will include generally for applicants who meet the Medicare eligibility requirements. Plan A Medicare coverages include:
- Hospital care
- Professional nursing facility care
- Nursing home care
- Hospice care
- Home health services
Hospital care for Medicare Part A coverage includes inpatient care, which translates to semi-private rooms, meals, general nursing assistance, drugs that are part of the inpatient treatment and other supplies and services rendered during the stay. Long-term care is also available for Plan A beneficiaries who have more than one serious condition and can improve with time and specialized care. Plan A Medicare covers nursing home coverages, as long as custodial care is not the only thing a petitioner needs. Professional nursing facility care is included in the Medicare Plan A coverages, provided services are in a skilled nursing facility and under certain conditions within a limited time frame. This can include physical and occupational therapies, speech-language pathology services and ambulance transportation.
Hospice is also included in Medicare Part A coverages as well as home health services. Home health services for Part A Medicare include 24-hour-a-day care, meals delivered to the home, personal care, continued occupational services, physical therapy and more. For a more detailed list of the services covered under Medicare Part A plans, download our comprehensive guide today.
Services Not Covered by Medicare Plan A in Georgia
The services Georgia Medicare Plan A covers revolve around hospital benefits. However, Medicare Part A plans do not cover all health care services, treatments and amenities. Medicare Plan A coverages do not include private hospital rooms (unless declared medically necessary), private-duty nursing, personal care items or other entertainment-based benefits such as telephone and television. In addition, Medicare Plan A does not include the cost of home care unrelated to treatment, cosmetic surgery, most dental care, acupuncture, hearing aids and more. It is important for all beneficiaries of the Part A Medicare coverage to understand in advance the services covered and not covered in order to avoid unnecessary surprises.
How to Get Medicare Plan A Coverage in Georgia
While some beneficiaries begin receiving Medicare Plan A in Georgia automatically, others need to learn how to apply for Medicare coverage. Automatic Medicare Part A coverage usually depends on whether or not the applicant is already receiving benefits, such as from Social Security. When beneficiaries become eligible for certain government benefits, Medicare Plan A benefits begin as well.
Most Medicare beneficiaries for Part A coverage will need to apply for benefits when they become eligible. Applicants can enroll during their initial enrollment period or wait until the annual enrollment period. The initial enrollment period may occur when the petitioner reaches the minimum age requirement or when he or she first qualifies to register due to other factors, such as disability or illness. For more information about how to sign up for Medicare Plan A and the enrollment timeframe to consider, download our helpful guide today.
What Is the Medicare Part A Cost in Georgia?
Georgia Medicare Part A costs can vary depending on how much the applicant and his or her spouse paid in Medicare taxes throughout their lifetime. Normally, Medicare Part A beneficiaries do not need to pay a monthly premium, which is also called a “premium-free Part A”. Beneficiaries enroll in premium-free coverage are those who meet the age requirement and receive or are eligible to receive retirement benefits. Other eligible premium-free Medicare Part A beneficiaries include those who receive certain disability benefits or have specific medical conditions, regardless of meeting the age minimum. However, those who do not qualify for a premium-free Medicare Part A plan will have a monthly charge for coverage based on the number of quarters for which the petitioner and/or spouse paid Medicare tax. Beneficiaries who purchase a Medicare Part A plan may also need to choose a Medicare Part B plan.
In addition to the monthly premium for Medicare Part A plans, beneficiaries may have out-of-pocket costs for medical services. Medicare costs for coverage and services will vary by beneficiary.