Skilled Nursing Facility (SNF)
Medicare only covers skilled nursing facilities if you have a qualifying three-day hospital stay. If you want a possible SNF stay covered, make sure you are not in the hospital for observation. There is no deductible for these services, however you will pay a co-pay for days 20 to100. On day 101, you will pay all expenses unless you have a separate insurance policy that will help pay the costs.
Home Health Care
There is no deductible or copayment for home health care with Medicare Part A.
Part B Covered Medical Services
Costs for medical services, outpatient care (including most emergency room visits) and medical equipment include an annual deductible which is currently just over $200. You will also pay 20% of expenses as co-insurance.
Prescription Drugs Part D
Deductibles and copayments vary according to the prescription drug plan you choose.
Medicare coverage is limited for some medical services and result in expenses that you must cover. One of the largest gaps results from the lifetime maximum on hospital days—which includes the 90-day benefit period plus the 60 lifetime reserve days. Once benefits are exhausted, you pay all hospital costs. Similarly, you are limited to 100 SNF days in each benefit period. Hospital lifetime reserve days cannot be used for extra SNF care after day 100.
Additionally, unlike other insurance plans, Original Medicare does not have out-of-pocket maximum spending limits. This means there is no yearly limit on what you pay.