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Medicare Part B Physician Coverage |
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"Same prices |
| Medical Expenses: |
Medicare Covers |
You Pay |
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physician's services, inpatient and outpatient medical services, physical and speech therapy, diagnostic tests |
80% of approved amount |
$135 annual deductible plus 20% of approved amount |
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Clinical Laboratory Services: blood tests urinalysis |
Generally 100% of approved amount |
Nothing |
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Home Health Care: part-time or intermittent skilled care, home health aide services, durable medical supplies and other services |
100% of approved amount 80% of approved amount for durable medical equipment |
Nothing for services $135 Deductible plus 20% of approved amount for durable medical equipment |
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Outpatient Hospital Treatment: services for the diagnosis of an illness or injury |
Medicare pays a set amount based on prospective payment system (after $135 deductible) |
$135 Deductible plus a coinsurance or fixed co-payment amount for each service based on prospective payment system |
| Blood |
After first 3 pints of blood, 80% of approved amount |
First 3 pints then $135 Deductible plus 20% of approved amount for additional pints |
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