Hospital Insurance

E801323

Hospital Insurance is the component of Medicare that helps cover inpatient hospital care and related facility-based medical services for eligible beneficiaries.

All labels observed (1)

Label Occurrences
Hospital Insurance canonical 1

How this entity was disambiguated

Statements (48)

Predicate Object
instanceOf Medicare component
health insurance coverage
public insurance program
administeredBy Centers for Medicare & Medicaid Services
alsoKnownAs Medicare Part A
appliesSetting acute care hospitals
certain home health agencies
hospice facilities
skilled nursing facilities
appliesTo Medicare beneficiaries
benefitType facility-based services
country United States
covers critical access hospital care
hospice care
inpatient hospital care
inpatient psychiatric care (limited)
long-term care hospital services (limited)
skilled nursing facility care (limited)
some home health care
distinctFrom Medical Insurance (Medicare Part B)
linked to: Medicare Part B

Medicare Advantage (Medicare Part C)
linked to: Medicare Part C

Medicare prescription drug coverage (Medicare Part D)
linked to: Medicare Part D
doesNotRequire enrollment premium for most people with sufficient work history
effectiveFrom 1966
eligibilityBasedOn age 65 or older (with other conditions possible)
amyotrophic lateral sclerosis
disability qualifying for Social Security Disability Insurance
end-stage renal disease
establishedBy Social Security Amendments of 1965
excludes most physician services
outpatient prescription drugs (with limited exceptions)
routine dental care
routine vision care
financedBy beneficiary premiums (for some enrollees)
general federal revenues (partially)
payroll taxes
fundedBy Medicare Hospital Insurance Trust Fund
hasCostSharing benefit periods
coinsurance
deductibles
hasPremium monthly premium for beneficiaries without sufficient work history
linkedTo Medicare Supplement Insurance (Medigap) for additional coverage
linked to: Medigap policies
partOf Medicare
linked to: Medicare Part A
premiumFreeFor beneficiaries with at least 40 quarters of Medicare-covered employment
primaryPurpose protect beneficiaries from high costs of inpatient and facility-based care
regulatedBy federal law
requires inpatient admission order for inpatient hospital coverage
startOfCoverage first day of hospital admission for an inpatient stay

How these facts were elicited

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.

Medicare Part A alsoKnownAs Hospital Insurance