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STACK 10
MC DEDUCTIBLES, PART A AND B
| Question | Answer |
|---|---|
| INPATIENT HOSPITAL STAY DEDUCTIBLES: | PART A days 1-60, $1600 per spell of illness (aka benefit period) days 61-90, 25$ of ded PER DAY, 2023 = $400 / day days 91-150 - LTR, 50% of ded PER DAY, 2023 = $800 / day |
| SKILLED NURSING FACILITY DEDUCTIBLES- must be inpatient hospital for 3 consecutive days, not including date of discharge: | PART A Days 1-20 $0 ded or co-ins Days 21-100 1/8th of current IP ded, 2023 = $200 / day |
| HOME HEALTH DEDUCTIBLES: | PART A $0 ded or co-ins |
| DME DEDUCTIBLES: | PART A 20% CO-INS. (20% of MC approved amt) |
| HOSPICE CARE DEDUCTIBLES: | PART A $0 ded or co-ins |
| OP PRESCRIPTION DRUG DEDUCTIBLES WHILE IN HOSPICE: | PART A Current year prescription drug copay. Up to $5 per script. |
| IP RESPITE CARE DEDUCTIBLES: | PART A Current year respite care co-ins. 2023, 5% of MC approved amt. |
| BLOOD DEDUCTIBLE FOR IP CARE OR SNF: | PART A Current blood deductible unless pt or someone else donates to replace. 2023, first 3 pints per year. |
| MEDICAL AND OTHER SERVICES DEDUCTIBLE: Dr. svcs, OP med & surgical services; supplies; dx tests; ASC facility fees for approved procedures. Also covers second surgical opinions. | PART B Current year ded, 2023, $226 per year Then 20% co-ins, except in OP setting. |
| OP PT, OT AND SPEECH DEDUCTIBLES: | PART B NO DED, 20% CO-INS |
| OP MENTAL HEALTHCARE DEDUCTIBLES: | PART B NO DED, 20% CO-INS |
| CLINICAL LAB SERVICES (BLOOD TEST, URINALYSIS AND MORE) DEDUCTIBLES: | PART B $0 so long as it is a MC approved svc. |
| HOME HEALTH CARE DEDUCTIBLE: | PART B $0 so long as it is a MC approved svc. |
| DME DEDUCTIBLES: | PART B No ded, 20% co-ins. |
| OP HOSPITAL SERVICES DEDUCTIBLES: | PART B Medicare-approved service: Coinsurance or fixed copayment, which varies according to the service |
| BLOOD - REC'D AS AN OP OR AS PART OF A PART B COVERED SERVICE: | PART B Current blood deductible (unless the patient or someone else donates to replace the blood received), then coinsurance First 3 pints per year, then 20% of the Medicare approved amount |
Created by:
Amy17349
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