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Medicare Part A Explained

What is Medicare Part A?

What does Medicare Part A cover?

  • Inpatient hospital care.
  • Skilled nursing facility care.
  • Home health care.
  • Hospice care.

How much does Medicare Part A cost?

Most people do not pay a monthly premium for Part A. If you or your spouse worked for 10 years and paid Medicare taxes, you will not have to pay a premium. These costs may apply:

  • Inpatient hospital deductible
  • Inpatient hospital copays
  • Skilled nursing copays
  • Durable medical equipment copays

Am I eligible for Medicare Part A?

You can enroll in Medicare Part A if:

  • You are age 65 or older, or
  • You are under age 65 with certain disabilities, or
  • You have permanent kidney failure requiring dialysis.

How do I get Medicare Part A?

If you already get benefits from Social Security, you'll get Medicare Parts A and Part B automatically when you're first eligible and don't need to sign up. Medicare will send you a "Welcome to Medicare" packet 3 months before you turn 65. You can also contact the Social Security Administration to sign up for Original Medicare. You can visit their website at www.ssa.gov. Or call toll-free 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778.

Next Steps

This information is not a complete description of benefits. Call 1-866-400-5077 (TTY: 711) for more information. Out-of-network/noncontracted providers are under no obligation to treat UPMC for Life members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services. Other physicians/providers are available in the UPMC for Life network.

This information is available for free in other languages. Please call our customer service number at 1-877-539-3080 (TTY: 711).

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plans have a contract with the PA State Medical Assistance program. Enrollment in UPMC for Life depends on contract renewal.

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UPMC for Life Members
Call us toll-free: 1-877-539-3080
TTY: 711

Oct. 1 through March 31:
seven days a week from 8 a.m. to 8 p.m.

April 1 through Sept. 30:
Monday through Friday: 8 a.m. to 8 p.m.
Saturday: 8 a.m. to 3 p.m.

UPMC for Life Prospective Members
Call us toll-free: 1-866-400-5077
TTY: 711

Oct. 1 through Dec. 31:
seven days a week from 8 a.m. to 8 p.m.

Jan. 1 through Sept. 30:
Monday through Friday: 8 a.m. to 8 p.m.
Saturday: 9 a.m. to 3 p.m.

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Last Updated: 10/01/2020
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