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Medicare Supplements
Medicare (part A) and (part B) | Medicare Outline | Medicare Supplement Quote | Glossary
The Medicare Program
Medicare Part A (2007)
Part A is Hospital Insurance and covers cost associated with confinement in a hospital or skilled nursing facility.
When you are
hospitalized for: |
Medicare Covers |
You Pay |
1-60 Days |
Most confinement costs after the required Medicare Deductible |
$992 Part A Deductible |
61-90 Days |
All eligible expenses, after the patient pays a per-day copayment. |
$248/Day
|
91-150 Days |
All eligible expenses, after patient pays per-day copayment.
(These Are Liftetime Reserve Days Which may never be used again.) |
$496/Day
|
151 days or more |
Nothing |
You Pay All Cost |
Skilled Nursing Confinement:
When you are hospitalized for at least 3 days and enter a Medicare Approved skilled nursing facility within 30 days after a hospital discharge and are receiving skilled nursing care. |
All eligible expenses for the first 20 days; then all eligible expenses, (if you qualify), for days 21-100, after patient pays a per day copayment. |
After 20 days
$124/Day |
Medicare Part B (2007)
Part B is Medical Insurance and covers physicians services, outpatient care, tests, and supplies.
On Expenses
incurred for: |
Medicare Covers |
You Pay $131 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. |
Get an online medicare supplement quote
Further Information
If you have any questions about medicare, medicare supplements or would just like further information, please contact us here.
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