How much does Part B pay?

Page 7 of Medicare Part B (Medical Insurance): How It Works

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For each type of Medicare-covered care, Medicare approves only a specific amount, called an approved charge, of which Part B may pay all or only a portion, depending on the type of service.

  • Doctor visits: 80 percent of bills.
  • Laboratory costs: 100 percent of laboratory, X-ray, and other diagnostic charges.
  • Home healthcare: 100 percent of agency charges; 80 percent for medical equipment from the agency.
  • Outpatient therapy: The amount Part B pays for physical, speech, or occupational therapy depends on where a participant receives it. If it's given at home, as part of Medicare-approved home healthcare, Part B pays 100 percent; at a hospital outpatient department, 100 percent; at a doctor's or therapist's office, 80 percent.
  • Ambulance: 80 percent.
  • Flu and pneumonia vaccination: 100 percent.
  • Outpatient mental healthcare: 50 percent, regardless of who provides it.
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8 months ago

Clear, concise, comprehensive overview!!


8 months ago

Hi jnsidlo, Thank you for your comment. Unfortunately, at this time, I'm unsure exactly what you are asking. If you'd like, you can re-post your question to our Ask & Answer section with more information about your situation. You can post your question here: ( http://www.caring.com/ask ) Thank you! -- Emily | Community Manager


8 months ago

Dear Mr. or Mrs : I have medical insurance premiums due trough July 2011 out of the check I will receive around July1, 2011. These premiums total $230,80. These premiums cost every month ?? Thanks for ansver.


10 months ago

Hi mose, Thanks for your comment. Check out these google search results: ( http://maps.google.com/maps?hl=en&q=Houston,+Tx+oral+surgeons+%22accept+medicare+%22&bav=on.2,or.r_gc.r_pw.&um=1&ie=UTF-8&sa=N&tab=wl ). You may have to do a little more research to find out if they accept medicare, but that list should help you get started. I'd just give a facility you are interested in a call, and ask if they accept medicare. If they don't maybe they'll know someone who does. Good luck! -- Emily | Community Manager


10 months ago

My brother is mentally challenged and is 45 years old has medicare a,b,d his doctor told us he needs to have a tooth pulled been to 2 oral surgeons thay do not accept medicare we are in the Houston area we need a oral surgeon that accepts medicare can anybody help


about 1 year ago

can i get paid to be caregiving.


over 1 year ago

How can I find out if any of my providers chose "assignment" for payment?


over 1 year ago

I am trying to find out just how much Medicare pays for cataract surgery. I am having it and cannot find out how much it costs...tho' I am still calling around and trying to get an answer so if I know what Medicare pays I can then anticipate what out of pocket I have to pay. I already know what my supplemental insurance pays but don't know what they will pay AFTER Medicare. I am considering "premium" lenses.


over 1 year ago

medicare and Gyms - is there a list of gyms in RI? How do i get one?


over 2 years ago

Will Medicare Part B cover medical expenses while abroad on vacation?


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