Problem
John is 78 years old and is enrolled in Medicare, he does not have secondary insurance. On Jan 2nd, 2022 John slipped on a patch of ice and broke his hip. He was rushed to the hospital and the doctors determined that John would require a hip replacement, John was admitted to the hospital on Jan 2nd and the surgery took place on Jan 6th as the surgeon wanted to wait until the swelling in his hip subsided. Post-op John spent 3 days in the hospital and then went to a skilled rehab facility. Three weeks after the surgery while John was still in the rehab facility the nurses noticed that Johns incision was bright red and oozing a yellowish fluid. John was sent back to the hospital and it was determined the hip replacement was infected and the surgeons decided to replace his hip implant with a new hip. The doctors also placed a picc line in Johns upper arm and on a daily basis he had to have antibiotic injections. John ended up staying at the hospital under clinical observation while receiving antibiotic therapy until February 12th and then was transferred back to the skilled rehab facility to begin therapy. Due to the nature of John's hip replacement and infection he was finally discharged on April 2nd from the rehab facility (90 day Medicare Part A expired). John's health had improved significantly however on July 8th he fell while cutting the lawn and broke his femur and was rushed to the hospital for emergency surgery. John spent 8 days in the hospital and 14 days at a skilled rehab facility. Please note : John had previously used up his 60 Medicare Part A reserve days
Task
A. What was Johns initial Medicare Part A deductible
B. What was the total cost for John's initial 90 days in the hospital and skilled facility- show math breakdown to justify response
C. Does John have to pay another deductible under Part A for when he had surgery on his leg
D. What would the Total out of pocket cost that John must pay- show math breakdown