Get all the benefits you are entitled to receive at the lowest possible cost.
* NOTE: APPROVED AMOUNTS ON COVERED CHARGES
Medicare pays only 80% of what it decides is the proper amount, called the "approved amount" for medical services.
The approved amount is set by Medicare and it can often be less than what doctors actually charge.
If your doctor or other medical provider does not accept assignment of the Medicare charges, you are personally responsible for the difference, up to a certain maximum.
OUTPATIENT CARE COVERED AT 80%
INCLUDING:
- Doctor's visits
- Surgeries
- Lab tests and X-rays
- Medical equipment
- Medical supplies
- Home health care
"PART B" COVERS 80% OF
Durable Medical Equipment
Durable Medical Equipment (DME) covered by Medicare include wheelchairs, crutches, hospital beds, lancet devices and lancets as supplies used with DME if you have diabetes.
Make sure that your doctors and suppliers are enrolled with Medicare.
Second Opinions
In some cases, Medicare Part B covers a second opinion by a doctor that accepts Medicare where medically necessary surgery is not an emergency.
Medicare also will help pay for a third opinion if the first and second opinions are different.
Ambulance Services
Medicare Part B covers ground ambulance transportation when you need to be transported to a hospital, critical access hospital, or skilled nursing facility for medically necessary services, and transportation in any other vehicle could endanger your health.
Mental Health
Medicare Part B helps pay for outpatient mental health services such as:
- One depression screening per year
- Individual or group psychotherapy
- Psychiatric evaluation
- Medication management
Clinical Research
Clinical research studies, or clinical trials, test how well different types of medical care work and if they’re safe. These studies may involve diagnostic tests, surgical treatments, medicine, or new types of patient care.
Limited Outpatient Prescription Drugs
Part B may cover drugs like those you get at a doctor's office and wouldn't usually give to yourself.
* NOTE: EXCESS CHARGES
If the amount a doctor or other healthcare provider is legally permitted to charge is higher than the Medicare approved amount, the difference is called the excess charge.
Medicare supplement policies Plan F and Plan G cover these excess charges.
Apply for Medicare Part B