MEDICARE PART A PLANS AND COSTS IN TEXAS
Medicare Part A plans are available to eligible applicants who need health insurance hospital coverage. All applicants who enroll in Medicare Plan A must also enroll in Part B, which covers medical services. Texas Medicare Part A includes in-patient hospital services and nursing facility care following a hospital stay. Additionally, Medicare Part A plans include home health care, hospice care and several blood draws each year. Qualifying applicants can apply for Medicare Plan A coverage online, by telephone or in-person.
Below, Medicare Part A applicants can find information about enrolling in Plan A:
- What is Medicare Part A and who is eligible in Texas?
- How to get Medicare Plan A/hospital insurance in Texas
- Medicare Part A eligibility requirements in Texas
- How much do Medicare Part A plans cost in Texas?
- What is Medicare Part A and Who is Eligible in Texas?
Medicare Part A plans provide hospital insurance to qualifying U.S. candidates. TX Medicare Part A helps to pay for inpatient hospital care or nursing care following a hospital stay. Medicare Part A applicants also receive help with some home health care and hospice care costs.
U.S. citizens who are 65 or older are eligible to receive Medicare Plan A or hospital insurance. However, individuals who do not meet Medicare Plan A qualifications can purchase Medicare during specified enrollment periods. Non-qualifying individuals must pay a monthly premium.
How to Get Medicare Plan A/Hospital Insurance in Texas
Enrollment for Texas Medicare Part A takes place either automatically or manually. Qualifying applicants are automatically enrolled in Medicare Plan A during the month they turn 65, if the applicant is already receiving Railroad Retirement, disability benefits or Social Security benefits. Other individuals must manually enroll in Medicare Plan A three months before reaching 65 years of age. To enroll in Medicare Part A plans, applicants must submit an enrollment application online, by telephone, or in-person at a Social Security office.
Medicare Part A Eligibility Requirements in Texas
Qualifying applicants may be eligible to receive TX Medicare Part A plans with no monthly premiums. Medicare Plan A applicants who may be eligible to receive premium-free plans must meet the following requirements:
- Must be U.S. citizens or permanent residents of the U.S.
- Must be 65 or older
- Must be eligible to receive Social Security Benefits or Railroad Retirement benefits
- The Medicare Plan A applicant’s spouse receives Social Security or Railroad Retirement benefits or is eligible to receive benefits.
- The applicant or the applicant’s spouse worked in a government job for long enough to pay Medicare taxes.
- The Medicare Plan A applicant is the parent of an insured deceased child
Qualifying applicants may be eligible for premium-free Medicare Part A plans before turning 65 years of age if they have been entitled to receive Social Security disability benefits for the past 24 months, have a disability pension from the Railroad Retirement Board, have Lou Gehrig’s disease, kidney failure or have worked long enough in a government job to pay Medicare taxes. However, Medicare Plan A may be available by purchase if the applicant does not meet the eligibility requirements.
How Much Does Medicare Part A Cost in Texas?
If TX Medicare Plan A eligibility requirements are met, many petitioners do not pay a monthly premium for coverage. For applicants who do not meet the eligibility requirements and must buy Medicare Plan A, their monthly premium will be approximately $413 per month. However, premiums for Medicare Part A plans change at the beginning of each year.
In addition to the Medicare Part A cost of premiums, candidates may have to pay for co-pays, deductibles and coinsurance costs. Additional fees also apply for non-Medicare covered services. Medicare Part A plans do not include services for long-term hospital care, custodial care, more than 100 days of nursing home care following a hospital stay, private-duty nursing care and homemaker services.
Additionally, Medicare Plan A does not cover dentures or dental care, routine foot care, cosmetic surgery, eyeglasses, routine eye care, hearing aids and health care while traveling outside of the U.S.
All applicants who enroll in Medicare Plan A in Texas must also enroll in Medicare Plan B to receive medical insurance, which always comes with a monthly premium. Petitioners who cannot afford their Medicare Part A cost each month may be eligible for Medicare savings programs such as Qualified Medicare Beneficiary Program (QMB), Specialized Low-Income Medicare Beneficiary Program (SLMB), the Qualified Individuals Program (QI) and the Qualified Disabled Working Individuals Program (QDWI). Applicants enrolled in Medicare Plan A may also be able to benefit from PACE services in Texas.