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.
Statements (48)
| Predicate | Object |
|---|---|
| instanceOf |
Medicare component
ⓘ
health insurance coverage ⓘ public insurance program ⓘ |
| administeredBy | Centers for Medicare & Medicaid Services NERFINISHED ⓘ |
| alsoKnownAs | Medicare Part A NERFINISHED ⓘ |
| appliesSetting |
acute care hospitals
ⓘ
certain home health agencies ⓘ hospice facilities ⓘ skilled nursing facilities ⓘ |
| appliesTo | Medicare beneficiaries ⓘ |
| benefitType | facility-based services ⓘ |
| country |
United States of America
ⓘ
surface form:
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)
NERFINISHED
ⓘ
Medicare Advantage (Medicare Part C) NERFINISHED ⓘ Medicare prescription drug coverage (Medicare Part D) NERFINISHED ⓘ |
| 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 NERFINISHED ⓘ |
| 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 NERFINISHED ⓘ |
| hasCostSharing |
benefit periods
ⓘ
coinsurance ⓘ deductibles ⓘ |
| hasPremium | monthly premium for beneficiaries without sufficient work history ⓘ |
| linkedTo | Medicare Supplement Insurance (Medigap) for additional coverage NERFINISHED ⓘ |
| partOf | Medicare NERFINISHED ⓘ |
| 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 ⓘ |
Referenced by (1)
Full triples — surface form annotated when it differs from this entity's canonical label.