Service
|
Benefit
|
Medicare Pays
|
You Pay1
|
Medical Expense: Doctors bills, inpatient and outpatient medical services, and supplies, physical therapy,
ambulance, etc. |
Medicare pays for medical services in or out of hospital. |
80% of approved amount (after $100 deductible.) 50% of approved charges for most outpatient mental health services. |
$100 deductable2 plus 20% of approved amount and limited charges above approved amount.3
50% of approved charges for mental health services. |
Home Health Care |
Unlimited, if medically necessary. |
Full Cost. |
Nothing |
Outpatient Hospital Treatment |
Unlimited if medically necessary. |
80% of approved amount (after $100 deductable2) |
$100 deductable2 plus 20% of balance of approved amount. |
Blood |
Blood |
80% of approved amount (after first 3 pints) |
$100 deductable2 plus first 3 pints plus 20% of balance of approved amount. |