What
preventive services are covered under
Medicare Part B?
- Bone Mass Measurements - for certain
people at high risk for losing bone mass.
- Colorectal Cancer Screening tests such as
Fecal Occult Blood Test - once every 12
months for people with Medicare age 50 and
older.
- Diabetes Self Management Services -
blood glucose monitors, test strips and
lancets, and self-management training.
- Glaucoma Screening - for high-risk
patients, those with a family history of
glaucoma, and those with diabetes.
- Mammography Screening - once every 12
months for women with Medicare age 40 and
over. You are responsible for 20% of the
Medicare-approved amount with no Part B
deductible.
- Medical Nutritional Therapy services-
for patients with diabetes or renal disease.
- Pap Smear and Pelvic Examination -
once every 36 months; once every 12 months
if you are high risk for cervical or vaginal
cancer for all women with Medicare.
- Prostate Cancer Screening - once
every 12 months for all men with Medicare
age 50 and older. You are responsible for
20% of the Medicare-approved amount for the
digital rectal exam after the yearly Part B
deductible.
- Vaccinations
- Flu Shot - once a year in the fall or
winter for all people with Medicare.
- Pneumonia Shot - one shot may be all you
ever need. Ask your doctor.
- Hepatitis B Shot - if you are at medium to
high risk for hepatitis. You will be
responsible for 20% of the Medicare-approved
amount after the yearly Part B deductible.
What
services are not paid for by Medicare Part A
and Part B in the Original Medicare Plan?
The Original Medicare Plan does not cover
everything. Your out-of-pocket costs for
healthcare will include, but are not limited
to:
- Acupuncture.
- Deductibles, coinsurance or copayments
when you get health care services.
- Dental care and dentures (in most cases).
- Cosmetic surgery (except after an
accident)
- Custodial care at home or in a nursing
home
- Hearing aids
- Orthopedic shoes
- Outpatient prescription drugs (with only a
few exceptions).
- Routine foot care and orthopedic shoes,
except for diabetics
- Routine eye care, glasses, hearing aids
- Routine or yearly physical exams
- Services not reasonable or medically
necessary
- Private nurses
What is
Medicare Part A and Part B?
Medicare Part A helps pay for care in
hospitals as an inpatient, skilled nursing
facilities, hospice care and some home
health care. Most people get Part A
automatically when they turn age 65. They do
not have to pay a monthly payment called a
premium for Part A because they or a spouse
paid Medicare taxes while they were working.
Medicare Part B helps pay for doctors'
services, outpatient hospital care, and some
other medical services that Part A does not
cover, such as the services of physical and
occupational therapists, and some home
health care. Part B helps pay for those
covered services and supplies when they are
medically necessary. You pay the Medicare
Part B premium of $58.70 per month. In some
cases this amount may be higher if you did
not choose Part B when you first became
eligible at age 65.
Where can
I get more information about Medicare?
Questions regarding Medicare Part A - call
1-800-853-1419
Questions regarding Medicare Part B - call
1-800-746-5680
Questions about Medicare Managed Care Plans
- call 1-800-633-4227
Questions about Social Security
Administration (SSA) - call 1-800-772-1213
or
www.ssa.gov
Visit the Medicare Web Site -
www.medicare.gov
Questions regarding your hospital bill -
click here for listing.
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