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Medicare Part B - Physician

Part B: (covers Medicare eligible physician services, outpatient hospital services, certain home health services, durable medical equipment)

  • $147.00 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the $147.00 annual deductible.)

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