For the 2021 Benefit period you pay for Medicare Part A
- $1,484 deductible for each benefit period in 2021
- Days 1-60: $0 coinsurance 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 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 your physician.
For more information on Managed Medi-Cal please see the State website listed above or the website for LA Care Health plan.