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Hospital Insurance Trust Fund: What It is, How it Works

What Is the Hospital Insurance Trust Fund?

The Federal Hospital Insurance Trust Fund is also known as Part A of Medicare, the health insurance program for people aged 65 and older in the United States. The program is financed through payroll taxes from current workers and employers and taxes on Social Security benefits.

This trust fund is overseen by a board of trustees that reports annually regarding its financial status. Due to changes in legislation and demographics in the United States, the fund is projected to be depleted in 2031.

Key Takeaways

  • The Federal Hospital Insurance Trust Fund is Part A of Medicare and covers hospital stays, hospices, and skilled nursing facilities.
  • The Fund is something that every worker pays into, then benefits from at retirement.
  • Given changing demographics and regulations, the trust fund is expected to be depleted by 2031.

Understanding the Hospital Insurance Trust Fund

The Hospital Insurance Trust is funded by revenue from Social Security benefits and payroll taxes from all workers in the United States, not just from beneficiaries. The program is something all workers pay into and then benefit from when they reach retirement age or are unable𝕴 to work due to disability. Medicare🀅 Part A helps pay for inpatient hospital services, hospice care, skilled nursing facility, and home health services.

Medicare Benefits

Managed by the U.S. government, the Federal Hospital Insurance Trust Fund or Medicare Part A pays for healthcare services like hospital stays and hospice care for Medicare recipients. Medicare is a government-funded health insurance program for those 65 and older, disabled people, and people with certain health conditions specified by the government.

Medicare Parts B, C, and D pay for healthcare services not covered by the hospital insurance trust fund, such as doctor visits, lab tests, and prescription drugs, and are funded through premium payments from beneficiaries.

Tip

The Initial Enrollment Period to apply for Medicare lasts for seven months, starting three months before enrollees turn 65 and ending three months after the month they turn 65.

Funding the Hospital Insurance Trust Fund

Analysts are concerned that the U.S. economy will not support the hospital trust within Medicare in the future because of changes in population demographics as the birth rate decreases and people live longer.

According to the 2023 report from the Social Security and Medicare Boards of Trustees, it is projected that the Hospital Insurance Trust Fund will be able to pay 100% of total scheduled benefits until 2031, after which the fund’s reserves will be depleted and continuing program income will be sufficient to pay 89% of benefits. 

The estimates ar𓄧e based on several factors, including utilization rates of skilled nursing facilities, overall levels of worker productivity, and recent trends in healthcare costs relative to individual incomes🍨.

How Much Does Medicare Part A Cost?

For those who receive benefits from the Hospital Insurance Trust Fund, or Medicare Part A, most people don’t pay a Part A premium because they paid Medicare taxes while they were employed. However, those who don't qualify for free Part A may pay up to $505 each month in 2024.

How Do I Know What Benefits I Can Receive From Medicare?

To understand the benefits and costs🌠 of Medicare Part A, indi🌠viduals can visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227). 

Will the Hospital Insurance Trust Fund Be Depleted by 2031?

According to the 2023 report from the Social Security and Medicare Boards of Trustees, it is projected that the Hospital Insurance Trust Fund will be able to pay 100% of the total scheduled benefits until 2031. However, the Congressional Budget Office projects the Fund will be solvent until 2033.

The Bottom Line

The Federal Hospital Insurance Trust Fund is also known as Medicare Part A, part of the United States health insurance program for those 65 and older. The Fund pays for healthcare services like hospital stays and hospice care for Medicare recipients. It is overseen by a board of trustees and is projected to be depleted in 2031.

Article Sources
Investopedia requires writers to use primary sources to support their work. These include white papers, government data, original reporting, and interviews with industry experts. We also reference original research from other reputable publishers where appropriate. You can learn more about the standards we follow in producing accurate, unbiased content in our editorial policy.
  1. U.S. Centers for Medicare & Medicaid Services. ""

  2. U.S. Centers for Medicare & Medicaid Services. "."

  3. Social Security Administration. "."

  4. U.S. Centers for Medicare & Medicaid Services. "."

  5. U.S. Centers for Medicare & Medicaid Services. ""

  6. U.S. Centers for Medicare & Medicaid Services. "."

  7. U.S. Centers for Medicare & Medicaid Services. ""

  8. Medicare.gov. "?"

  9. National Institutes of Health. "."

  10. U.S. Department of the Treasury. "."

  11. Centers for Medicare & Medicaid Services. "." 

  12. American Hospital Association. "."

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