To determine what coverage Mrs. Zwick will receive from Medicare Part A, one must look at the coverage requirements. Due to a stroke, the patient was admitted inpatient and needed critical access to care. The patient was only an impatient at the hospital for five days. These factors fit the criteria for Medicare Part A coverage for a semi-private room, hospital services, meals, nursing, and supplies, and inpatient mental health care (lifetime limit of 190 days). Medicare part A does not pay the annual Part A deductible amount; and the co-insurance amount that is $1,156 per benefit period. Since the patient was admitted for only 5 days, the patient only has to pay one benefit period. If the patient had needed blood, the cost of the first three pints of blood would not be covered. Moreover, if the patient had been traveling abroad no medical expenses would have been covered under Medicare Part A.
For the patient to be eligible for SNF coverage post discharge, the patient had to have either had a qualifying three-day hospital stay or started receiving Medicare-covered SNF care. Because the patient met this criterion, Medicare Part A covered the SNF stay for the first 20 days of her stay based on Medicare Part A coverage stipulations.
What Medicare Part A does
References: Busse, R. (2004, May). Disease Management Programs In Germany’s Statutory Health Insurance System. Health Affairs, 23(3), 56-67. Economy of the United States. (2012). Retrieved May 22, 2012, from Wikipedia the Free Encyclopedia: http://en.wikipedia.org/wiki/Economy_of_the_United_States Fierro, M Health Care Around the World: Great Britain. (2008, April 23). Retrieved May 18, 2012, from Healthcare Economist: http://healthcare-economist.com/2008/04/23/health-care-around-the-world-great-britain/ Healthcare in Switzerland John Creighton Campbell, N. I. (2010). Lessons from Public Long-Term Care Insurance in Germany and Japan. Health Affair, 29(1), 87-95. Medicare Part A (Hospital Insurance). (2012). Retrieved May 20, 2012, from Medicare.gov: http://www.medicare.gov/navigation/medicare-basics/medicare-benefits/part-a.aspx Medicare Part B (Medical Insurance) Medicare Prescription Drug Coverage (Part D). (2012). Retrieved May 15, 2012, from Medicare.gov: http://www.medicare.gov/navigation/medicare-basics/medicare-benefits/part-d.aspx Rademacher, L RAND Corporation. (2002). The Health Risks of Obesity Worse Than Smoking, Drinking, or Poverty. Retrieved May 15, 2012, from RAND Corporation: http://www.rand.org/pubs/research_briefs/RB4549/index1.html Torrey, T World Health Organization. (2005). Preventing Chronic disease is a Vital Investment. Retrieved May 13, 2012, from World Health Organization: http://www.who.int/chp/chronic_disease_report/full_report.pdf