|
Medical Expenses |
Medicare Covers |
You Pay |
|
Physician’s services,
inpatient and
outpatient medical
services, physical and
speech therapy,
diagnostic tests
|
80%
of approved
amount
|
$147
annual deductible
plus
20%
of approved
amount
|
|
Clinical Laboratory
Services:
blood tests
urinalysis
|
Generally
100%
of approved
amount
|
Nothing |
|
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
$147 annual deductible
plus 20%
of approved amount
for durable medical
equipment
|
|
Outpatient Hospital
Treatment:
services for the
diagnosis of an
illness or injury
|
Medicare pays a set amount
based on prospective
payment system
(after $147 annual deductible)
|
$147 annual deductible plus a
co-insurance 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
$147 annual deductible
plus 20%
of approved
amount for
additional pints
|