For 2018 benefit period you pay for Medicare Part A (inpatient services):
- $1,340 deductible for each benefit period in 2018
- Days 1-60: $0 coinsurance for each benefit period
- Days 61-90: $335 coinsurance per day of each benefit period
- Days 91 and beyond: $670 coinsurance per each "lifetime reserve day"
after day 90 for each benefit period (up to 60 days over your lifetime)
- Beyond lifetime reserve days: all costs
Medicare Fee-For Service
Medicare is health insurance for people age 65 or older, under age 65
with certain disabilities, and any age with End-Stage Renal Disease (permanent
kidney failure requiring dialysis or a kidney transplant).
Medicare patients are legally responsible for paying their deductible and
co-payment (which is adjusted every year by the federal government agency
Centers for Medicare and Medicaid Services (CMS)), plus any services which
are not covered by the Medicare Program.
While there are several parts to the Medicare program, Medicare Part A
pays for inpatient hospital, skilled nursing facility, hospice, and certain
home healthcare. Part A covers most of the hospital facility services,
but does not include any physician services. Physician services are billed
separately by the physician and in most cases is covered by Medicare Part B.
For more information about CMS and the Medicare program you may go to the
Centers for Medicare and Medicaid Services website.
Medicare Managed Care
Some patients choose to pay for additional insurance to help cover costs
not paid for by Medicare. Medicare managed care patients have joined an
HMO such as Secure Horizons, Health Net Seniority plus, Blue Cross Senior
Secure SCAN Health Plan, Intervalley Health Plan or other Senior HMO product.
Huntington Hospital contracts with most Senior Health plans.
For more information on deductibles and co-payments under HMO plans please
see your health plan’s website.
Medi-Cal (Medicaid) Patients
Medi-Cal Fee for Service Medi-Cal is the California Medicaid health plan.
Medi-Cal is health coverage for qualifying persons who live in California,
who have income and resources below established limits. (see poverty level
chart on this website).
Medi-Cal patients have no payment responsibility for their hospital care
unless they are “Share of Cost” beneficiaries or unless they
receive service not covered by the Medi-Cal program (such as cosmetic surgery).
Medi-Cal coverage is available for persons over 65 or under 21, and certain
adults between 21 and 65 if they have minor children living with them.
Medi-Cal is also available to persons who are blind, disabled, pregnant
women, persons living in nursing homes and certain refugees and asylum seekers.
Documented and undocumented aliens may also be eligible for Medi-Cal. You
may contact your local welfare office for an application, more information
or assistance in finding out if you qualify for Medi-Cal.
For more information please go to the
State of California website.
Medi-Cal Managed Care
If you have chosen to be a member of a Medi-Cal HMO health plan, please
contact your assigned primary care physician, Medical Group or Health
plan. At this time Huntington Hospital does not contract with most of
the Managed Medi-Cal plans, and you need to seek care where directed by
For more information on Managed Medi-Cal please see the State website listed
above or the website for
LA Care Health plan.