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Medicare FAQs
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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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