Services Medicare Pays Plan Pays You Pay HOSPITAL CONFINEMENT BENEFIT* Semiprivate room and board, general nursing and miscellaneous services and supplies: First 60 days All but Part A Deductible Part A Deductible $0 61st through 90th day All but Part A Coinsurance Part A Coinsurance $0 91st through 150th day (While using 60 lifetime reserve days) All but Part A Coinsurance Part A Coinsurance $0 Once Lifetime Reserve days are used: Additional 365 days: Beyond the Additional 365 days $0 $0 100% of Medicare Eligible Expenses $0 $0 All costs SKILLED NURSING FACILITY CARE* You must meet Medicare's requirements, including having been in a hospital for at least 3 days and entered a Medicare-approved facility within 30 days after leaving the hospital: First 20 days All approved amounts $0 $0 21st through 100 th day All but Part A Coinsurance Part A Coinsurance $0 101 st day and after $0 $0 All costs BLOOD DEDUCTIBLE – Hospital Confinement and Out-Patient Medical Expense When furnished by a hospital or skilled nursing facility during a covered stay. First 3 pints $0 3 pints $0 Additional amounts 100% $0 $0 HOSPICE CARE Available as long as your doctor certifies you are terminally ill and you elect to receive these services. All but very limited coinsurance for outpatient drugs and inpatient respite care $0 Balance Medicare Hospital Services (Part A)