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2012 Part
B
- Medical Insurance
Part
B Coverage ·
Doctors’
services ·
Outpatient medical/surgical services and supplies ·
Diagnostic tests ·
Outpatient therapy ·
Outpatient mental health services ·
Some preventive health care services ·
Other
medical services Part B – COSTS * MONTHLY
PREMIUMS
* Applies to Original Medicare Plan (Medicare
Fee-for-Service) Co-Payment:
fixed dollar amount after annual deductible is met. Coinsurance:
% of Medicare approved amount after annual deductible is met
COSTS FOR COVERED
SERVICES AND ITEMS ·
Deductible:
You pay the first $140 yearly ·
Blood
(as an outpatient) o
First
3 units in a calendar year: You pay unless the blood is donated o
Additional
units in a calendar year: You pay a portion of the Medicare-approved
amount ·
Clinical
Laboratory Services and Home Health Services: You pay $0 of the
Medicare-approved amount ·
Medical
and Other Services: You pay 20% of the Medicare-approved amount for most
doctor services, outpatient therapy, most preventive services, and
durable medical equipment. ·
Mental
Health Services: You pay 45% of the Medicare-approved amount for most
outpatient mental health care. ·
Other
Covered Services: You pay copayment or coinsurance amounts ·
What’s NOT Covered by Part A and
Part B ·
Items and services Medicare
doesn’t cover include, but aren’t limited to: o
Long-term care o
Routine dental care o
Dentures o
Cosmetic surgery o
Acupuncture o
Hearing aids and exams for fitting
hearing aids ·
Medicare Part A and Part B don’t
cover everything. If you
need certain services that Medicare doesn’t cover, you will have to
pay out-of-pocket unless you have other insurance to cover the costs.
Even if Medicare covers a service or item, you generally have to
pay deductibles, coinsurance, and copayments. ·
Items and services that Medicare
doesn’t cover include, but aren’t limited to, long-term care,
routine denture care, dentures, cosmetic surgery, acupuncture, hearing
aids, and exams for fitting hearing aids. ·
To find out if Medicare covers a
service you need, visit www.medicare.gov,
and select “Find Out What Medicare Covers”, or call 1-800 MEDICARE
(1-800-633-4227). TTY users
should call 1-877-486-2048. For
additional information or details, please contact SHIP
at 301-590-2819 |
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