What Does Medicare Cover?

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(Note: All Dollar Amounts Are Based On 2000 Figures.)

Medicare is packaged in two parts: Part A and Part B. Qualified individuals automatically receive "Part A" which is hospitalization insurance. When all coverage requirements are met, Part A of Medicare will help pay for:

Limited hospitalization coverage
Limited post-hospital skilled nursing home care
Home health care
Limited hospice care
Blood, after the first three pints


Part B Is Medical Insurance And It Covers:

Physicians' services
Outpatient hospital care
Physical therapy
Diagnostic care
Other services


How Much Does Part A Pay For Skilled Nursing Care?
Part A will not pay for certain expenses which, while common to the hospitalization experience, are not related to costs of actual or necessary care. Such non-eligible expenses include:

Telephone
Television
Private duty nurses
Amount between a semiprivate and private room rate unless it is medically necessary


How Do I File A Claim?

The best news yet is that you do not have to file a claim for payment. The facility from which you received care will file the claim for you.

What Is The Deductible?

A deductible is an amount that you will pay before Medicare pays anything. As of January 1, 2000, the deductible per benefit period is $776.

What Does Medicare Part B Cover?

Medicare Part B is medical insurance rather than hospital insurance. It helps to pay for:

Physician services
Outpatient hospital services
Emergency room visits when you are treated and released
Outpatient surgery
Diagnostic tests
Clinical lab services
Outpatient physical therapy
Speech therapy
Medical equipment and supplies
Rural health clinic services
Renal dialysis
Other health services and supplies