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1. Medicare Part A and Part B cover certain medical services and supplies in hospitals, doctors’ offices, and other health care settings.
2. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them. -How much will I pay for prescription drugs included in Medicare Part B coverage? -Does the Part B deductible apply for cardiac rehab? -What percentage of the Medicare-approved amount will I need to pay for colorectal cancer screenings?
3. What’s covered helps you understand the health care coverage offered by Original Medicare Part A (Hospital Insurance) and Part B (Medical Insurance).
4. Preventive services can help keep you healthy by finding health problems early and can keep you from getting certain diseases. - Will my Medicare benefits cover services to help me stop smoking? - How often will my Medicare coverage allow me to get a bone mass measurement?
5. Part B medical insurance coverage supports medically necessary doctors’ services, outpatient care, home health services, durable medical equipment, preventive services, and other medical services.
6. Under Original Medicare, if the Part B deductible applies, you must pay all health care costs (up to the Medicare-approved amount) until you meet the yearly Part B deductible.
7. If you have a Medicare Advantage Plan or other Medicare health plan, you have the same basic health care coverage as people who have Original Medicare, but the rules vary by plan.
8. What’s covered doesn’t contain information on Medicare Advantage Plan, other Medicare health plan, or Medicare Supplement Insurance (Medigap) coverage.
9. Your doctor or health care provider may recommend you get services more often than Medicare covers.
10. After your deductible is met, Medicare begins to pay its share and you typically pay 20% of the Medicare-approved amount of the service, if the doctor or health care provider accepts assignment.
11. Part A hospital insurance coverage helps pay for inpatient care in a hospital, inpatient care in a skilled nursing facility, hospice care, home health care, or inpatient care in a religious nonmedical health care institution.
12. Ask your doctor or health care provider which preventive services (like screenings, shots, and tests) you need to get.
13. Medicare coverage includes preventive services at no cost to you.