Medicare Part B (2015)
Part B is Medical Insurance and covers physicians services, outpatient care, test, and supplies. (see Medicare Part B)
|Medicare Covers||You Pay $147 Annual Part B Deductible PLUS|
Physicians services, inpatient, outpatient medical/surgical services, physical/speech therapy, diagnostic test.
|80% of approved amount||20% of approved amount|
|Clinical Laboratory Services
Blood Test, Urinalysis
|Generally 100% of approved amount||Nothing for Services|
|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; 20% of approved amount for durable medical equipment|
|Outpatient Hospital Treatment
Services for the diagnosis or treatment of an illness or injury
|Medicare payment to hospital based on hospital cost||20% of Billed Amount|
|Blood||After first 3 pints of blood, 80% of approved amount||First 3 pints plus 20% of approved amount for additional pints|
|On all Medicare-covered expenses, a doctor or other health care provider may agree to accept Medicare “assignment.” This means the patient will not be required to pay any expense in excess of Medicare’s “approved” charge. The patient pays only 20% of the “approved” charge not paid by Medicare.
Physicians who do not accept assignment of a Medicare claim are limited as to the amount they can charge for covered services.