Medicare Part A

E228058

Medicare Part A is the U.S. federal health insurance program component that primarily covers inpatient hospital, skilled nursing facility, hospice, and some home health care services for eligible older adults and certain disabled individuals.

All labels observed (4)

How this entity was disambiguated

Statements (53)

Predicate Object
instanceOf Medicare coverage component
U.S. federal health insurance program component
administeredBy Centers for Medicare & Medicaid Services
United States Department of Health and Human Services
surface form: U.S. Department of Health and Human Services
alsoKnownAs Hospital Insurance
benefitPeriodDefinition begins with inpatient admission and ends after 60 consecutive days without inpatient or skilled nursing care
country United States of America
surface form: United States
covers home health care services
hospice care
inpatient hospital care
skilled nursing facility care
coversServiceType drugs as part of inpatient treatment
general nursing services
hospice pain management and symptom control
intensive care unit services
lab tests during inpatient stay
meals during inpatient stay
medical supplies used in inpatient care
operating room services
part-time or intermittent home health care
semi-private room in hospital
short-term skilled nursing care following a qualifying hospital stay
coversSetting Medicare-certified hospice programs
Medicare-certified skilled nursing facilities
acute care hospitals
critical access hospitals
inpatient rehabilitation facilities
long-term care hospitals
effectiveDateForMostBeneficiaries first day of the month they turn 65
eligibleFor certain disabled individuals
people aged 65 and older
people with End-Stage Renal Disease
enrollmentType automatic for most people receiving Social Security benefits at 65
requires sign-up for some eligible individuals
establishedBy Social Security Amendments of 1965
excludesCoverageFor most outpatient physician services
most prescription drugs
fundedBy Federal Insurance Contributions Act taxes
surface form: Medicare payroll taxes

beneficiary premiums
general federal revenues
hasCostSharing coinsurance
deductibles
hasPremiumFreeOptionFor most people with sufficient Medicare-covered work history
spouses of workers with sufficient Medicare-covered work history
partOf Medicare
primaryPayerStatus may be secondary to employer group health coverage in some cases
relatedTo Medicare Part B
Medicare Part C
Medicare Part D
requiresCertificationFor hospice eligibility by a physician
requiresPremiumFor beneficiaries without sufficient Medicare-covered work history
requiresQualifyingHospitalStayFor skilled nursing facility coverage
startYear 1966

How these facts were elicited

Referenced by (8)

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

Public Law 89-97 established Medicare Part A
Social Security Trust Funds relatedTo Medicare Part A
this entity surface form: Medicare Hospital Insurance Trust Fund
Medigap policies appliesTo Medicare Part A
this entity surface form: Original Medicare
Medicare trust funds funds Medicare Part A
Annual Enrollment Period relatedTo Medicare Part A
this entity surface form: Original Medicare
Subcommittee on Health hasJurisdictionOver Medicare Part A
this entity surface form: Medicare hospital insurance