Information for Medicare Patients

Navigate Your Medicare Options With a Helping Hand.

Medicare eligibility starts at age 65. When it’s time for you to enroll, we want you to be able to make informed decisions with confidence. We invite you to connect with a licensed independent insurance agent to help you assess your current situation and find plans that work for you, all with access to Huntington’s local, world-class care.

There are two ways to connect with a trusted agent for support:

Sign Up for a Free Medicare Benefits Seminar

Hosted by Huntington Health Physicians and trusted independent insurance agents, these free 1-hour seminars (in-person or via Zoom) will provide a basic overview of the Medicare program, a review of health plan details, and the opportunity to have your specific Medicare questions answered. View our online calendar for a complete list of dates and times:

Connect With an Agent 1-on-1

If you prefer to forego a group seminar and want to connect directly with an agent in a private setting (over the phone, virtually, or in-person), please contact us at (626) 397-8331. We look forward to assisting you.

For the 2023 Benefit period, you pay for Medicare Part A
(Inpatient Services):

• $1,600 deductible for each benefit period in 2023
• Days 1-60: $0 coinsurance for each benefit period
• Days 61-90: $400 coinsurance per day of each benefit period
• Days 91 and beyond: $800 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime)
• Beyond lifetime reserve days: all costs

Medicare Fee-For Service

Medicare is health insurance for people age 65 or older, under age 65 with certain disabilities, and any age with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

Medicare patients are legally responsible for paying their deductible and co-payment (which is adjusted every year by the federal government agency Centers for Medicare and Medicaid Services (CMS)), plus any services which are not covered by the Medicare Program.

While there are several parts to the Medicare program, Medicare Part A pays for inpatient hospital, skilled nursing facility, hospice, and certain home healthcare. Part A covers most of the hospital facility services, but does not include any physician services. Physician services are billed separately by the physician and in most cases is covered by Medicare Part B.

For more information about CMS and the Medicare program you may go to the Centers for Medicare and Medicaid Services website.

Medicare Managed Care

Some patients choose to pay for additional insurance to help cover costs not paid for by Medicare. Medicare managed care patients have joined an HMO such as Secure Horizons, Health Net Seniority plus, Blue Cross Senior Secure SCAN Health Plan, Intervalley Health Plan or other Senior HMO product. Huntington Hospital contracts with most Senior Health plans.

For more information on deductibles and co-payments under HMO plans please see your health plan’s website.

Medi-Cal (Medicaid) Patients

Medi-Cal Fee for Service Medi-Cal is the California Medicaid health plan. Medi-Cal is health coverage for qualifying persons who live in California, who have income and resources below established limits. (see poverty level chart on this website).

Medi-Cal patients have no payment responsibility for their hospital care unless they are “Share of Cost” beneficiaries or unless they receive service not covered by the Medi-Cal program (such as cosmetic surgery).

Medi-Cal coverage is available for persons over 65 or under 21, and certain adults between 21 and 65 if they have minor children living with them. Medi-Cal is also available to persons who are blind, disabled, pregnant women, persons living in nursing homes and certain refugees and asylum seekers.

Documented and undocumented aliens may also be eligible for Medi-Cal. You may contact your local welfare office for an application, more information or assistance in finding out if you qualify for Medi-Cal.

For more information please go to the State of California website.

Medi-Cal Managed Care

If you have chosen to be a member of a Medi-Cal HMO health plan, please contact your assigned primary care physician, Medical Group or Health plan. At this time Huntington Hospital does not contract with most of the Managed Medi-Cal plans, and you need to seek care where directed by your physician.

For more information on Managed Medi-Cal please see the State website listed above or the website for LA Care Health plan.