Part A Inpatient Hospital deductible $1,676 but if I have Part C Advantage Plan, the hospital $350 copay per day 1-7 so how does this work?

Question

Steven Bleicher · Accepted Answer

The Part A (IN-patient hospital) copay per day will vary among Advantage plan companies. However, the $1,676.00 has been determined by Medicare itself every new year. Since that figure is the maximum that you'll pay for that one specific hospital visit, the daily rate will be applied toward that amount. Thus, if you're in the hospital for the typical 3 days, $1,050.00 ($350.00 times 3) will be applied toward the $1,676.00. That means that you have yet to arrive at the annual deductible in that example. Since Medicare keeps track of your Inpatient hospital stays, there will be the leftover amount of $626.00 that will remain as your responsibility should you be officially admitted to a hospital within that same calendar year.

Answered by Steven Bleicher on May 25, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent

William Lawler · Answer

Without a Part C Advantage plan, you are responsible for the $1676 Medicare deductible. With a Part C Advantage plan, your share is $350/day for days 1-7, not $1676/day for days 1-7. I am here to help 636-500-1892 Bill Lawler

Answered by William Lawler on June 20, 2025

Broker Licensed in MO, FL, IA & 12 other states

Answered by William Lawler Medicare Insurance Agent

Mark Maliwauki · Answer

Original Medicare is a 20% out of pocket for all services.

A Medicare Advantage or Part C plan has an inpatient hospital deductible of $x per day for 1-6 days typically. That is your responsibility with your Medicare Advantage plan. 

To summarize:

You would not pay both of these charges. If you have Part A only would you pay the $1676 deductible (or 20%) and with the Medicare Advantage Part C plan you would pay the $350 per days 1-5 deductible and after that, you would not have any additional inpatient hospital charges.

Andrew Zurbuch, MBA · Answer

Generally with Medicare Advantage coverage it's a set copay per day with no deductible for Medicare approved Inpatient Hospital care. Please see your Evidence Of Coverage for specifics or contact your Broker.

Plans are insured or covered by a Medicare Advantage (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

David Bell · Answer

Part C supersedes Original Medicare so you would only pay the daily co pay. While a full seven days would cost more ($2450)than the $1676, the trade off is when you’re only in for 1-5 days it’s considerably less.

Answered by David Bell on May 26, 2025

Agent Licensed in ID, AZ, CA & 8 other states

Answered by David Bell Medicare Insurance Agent

William Gray · Answer

The Part A deductible applies to those in original Medicare. 

If you have a Medicare Part C plan you would love pay according to the terms of your plan.

Jeffrey Kruzel · Answer

The Medicare benefits included in your selected Medicare Advantage (Part C) replaces the Medicare Part A benefits. Thus, you would not be charged the $1676 deductible, and your cost sharing would be covered at $350 copay per day 1-7.

Answered by Jeffrey Kruzel on June 3, 2025

Broker Licensed in FL, GA, MI, SC & TN

Answered by Jeffrey Kruzel Medicare Insurance Agent

Tracey Mury · Answer

Your Advantage plans pays your 1676 deductible and has a Max out of pocket (moop).
You pay your copay per day in hosp. along with other bills until your moop is reached.

Timothy Brown · Answer

The copay in a Medicare Advantage plan eliminates the Part A deductible. These plans are subsidized by the Federal Government and CMS (Centers for Medicare & Medicaid) and are designed to lower out of pocket costs in comparison to Original Medicare Part A & B.

Answered by Timothy Brown on May 25, 2025

Broker Licensed in PA, CT, DE & 15 other states

Answered by Timothy Brown Medicare Insurance Agent

Gary Henderson · Answer

If you choose in a Medicare advantage plan, you are no longer in original Medicare and that original Medicare deductible does not apply at all 
If you have a Medicare supplement plan instead of a Medicare advantage plan, the Medicare supplement plan will pay all hospital deductibles and costs that are approved by Medicare including the deductibles

Vachik Chakhbazian · Answer

Medicare Advantage plans set their own cost-sharing terms and may or may not charge deductibles for hospital stays. After meeting the deductible, your Medicare Advantage plan may have a copay for the initial days of your stay.

Answered by Vachik Chakhbazian on May 25, 2025

Agent Licensed in CA, AL, AR & 22 other states

Answered by Vachik Chakhbazian Medicare Insurance Agent

Marcie Barnes · Answer

Since Part C aka Medicare Advantage becomes your primary insurance, you are subject to the rules and guidelines of the plan in which you are enrolled.

Andrew Kramer · Answer

It works exactly as you are stating. Your Advantage plan has a $350 co-pay for each day you are hospitalized, up to 7 days. If you are in-patient longer than 7 days, there is no charge. When you have an Advantage plan, the hospital deductible is not in effect, only your daily co-pay.

Answered by Andrew Kramer on June 16, 2025

Agent Licensed in FL

Answered by Andrew Kramer Medicare Insurance Agent

Rodolfo Rojas · Answer

It depends on what plan you are choosing.  Every state has different coverages. The 350 co-pays is just for the plan you are looking at. There may be better options for you. :-)

Melanie Blackston · Answer

Medicare Part C your out-of-pocket costs for inpatient hospital care are different from Original Medicare Part A. Part A has a deductible of $1,676 for each benefit period. Advantage Plans usually have a copay of $300-350 per day for the first 5-7 days, and then a different cost for additional days, which could be zero The exact cost-sharing for MA plans vary by plan. Make sure to check your plan's specific coverage and cost information.

Answered by Melanie Blackston on June 10, 2025

Broker Licensed in SC, GA & NC

Answered by Melanie Blackston Medicare Insurance Agent

Hector Vazquez · Answer

If the Advantage plan has Zero deductible instead and a $350.00 per day copay for in-patient hospital admissions, the member pays $350.00 times the amount of days spent as an admitted patient until the max days are covered, which in this case is 7. 

If the stay is more than 7 days all the member pays is for the 7 days. This is different for observation or emergency room stays.

Jennifer Zimmerle · Answer

If you are a member of an Advantage plan you do not pay the Pt A deductible. You are only responsible for the hospital copay listed in your plans summary of benefits. So you would pay the $350 per day for days 1-7 as you listed in your question.

Answered by Jennifer Zimmerle on June 16, 2025

Agent Licensed in LA, MS & TX

Answered by Jennifer Zimmerle Medicare Insurance Agent

Part A Inpatient Hospital deductible $1,676 but if I have Part C Advantage Plan, the hospital $350 copay per day 1-7 so how does this work?

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Part A Inpatient Hospital deductible $1,676 but if I have Part C Advantage Plan, the hospital $350 copay per day 1-7 so how does this work?

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