What Are Medicare Approved Amounts For Services?





What are Medicare Approved Amounts for Preventative Services?

The following preventative services are covered with one hundred percent of the Medicare approved amount with no Part B deductible: Diabetes screenings, blood testing for cardiovascular disease, pap lab tests, fecal occult blood tests, flu shots, and pneumonia vaccines.

The following preventative services are covered with one hundred percent of the Medicare approved amount after Part B deductible: PSA tests.

The following preventative services are covered with eighty percent of the Medicare approved amount after Part B deductible: Diabetes services and supplies, medical nutritional therapy, glaucoma screening, bone mass measurement, digital rectal exam, and hepatitis B vaccine.

The following preventative services are covered with eighty percent of the Medicare approved amount with no Part B deductible: screening mammograms, pap test collection, pelvic exam, clinical breast exam, and one routine physical exam.

What is a Part A Plan and its Deductible?

Medicare Part A will typically pay for most of your inpatient expenses such as hospice care, home health care, skilled nursing facilities, and inpatient hospital stays. The Part A benefit period begins the day you go into a hospital or nursing facility and the benefit period ends when you have not received any inpatient care for sixty days. The deductible per benefit period is $1,100 per person.

What is a Part B Plan and its Deductible?

Medicare Part B covers eligible physician services, outpatient hospital services, some home health services, and durable medical equipment (such as crutches or a walker). Part B covers a one time “Welcome to Medicare” physical exam, however it does not cover routine physicals. After the first “Welcome to Medicare” exam, one must have a reason consult with a doctor in order for the appointment to be covered. The Part B deductible for 2010 is $115.



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