ORIGINAL MEDICARE - Out Of Pocket Expenses
The following are examples of some of the more common out of pocket expenses under original Medicare:
Inpatient Hospital Care: You pay for days 1-60 an initial deductible of $1316.00. For days 61-90, you pay $329.00 each day. For days 91-150 you pay $658.00 per day. You pay 100% thereafter.
Skilled Nursing Facility: For days 1-20 you pay nothing. For days 21- 100 you pay $164.50 per day. You pay 100% thereafter.
Doctor Office Visits: After you pay your $183.00 annual deductible, you pay 20% of Medicare approved charges/amounts. If the doctor does not accept Medicare assignment as payment in full, you must pay an additional 15% of the charges.
Chiropractic Services: You pay 20% of Medicare approved charges/ amounts for manual manipulation of the spine to correct subluxation. If the chiropractor does not accept Medicare assignment as payment in full, you must pay an additional 15%.
Outpatient Surgery: You pay 20% of Medicare approved amounts for the doctor and the outpatient facility charges.
Ambulance: You pay 20% of Medicare approved amounts.
Emergency Care: You pay 20% of the facility charge and 20% of the emergency room physicians’ charges.
Diagnostic Tests, X-Rays and Lab Services: You pay 20% of Medicare approved amounts except for approved lab services.
For details as to how Medicare pays for doctor visits, click the button below for a free white paper by Cristina Boccuti of the Kaiser Family Foundation.
or contact us for more information today!Contact Us Free Medicare Plans Booklet!
Prescott, Arizona Resource
Otto & Wilhelm Insurance is the quad-city areas independent insurance specialist agency. We represent over forty of the nation's top insurance carriers. We will research and work with you to find the insurance plan that fits your lifestyle and budget.
Copyright 2017. All Rights Reserved. Otto & Wilhelm Insurance, Prescott, Arizona 86301