Senior Security Insurance Service Home Page Medicare Supplement Medicare Advantage Prescription Drug Under 65 Health Plans

Medicare (part B)

Part B is Medical Insurance and covers physicians services, outpatient care, test, and supplies.

On Expenses
incurred for:

Medicare Covers

You Pay $147       Annual Part B Deductible  PLUS

Medical Expenses:
Physicians services, impatient, 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, but can collect an additional 15% of Medicare's approved amount.

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