MC DEDUCTIBLES, PART A AND B
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| 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
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| 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
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| HOME HEALTH DEDUCTIBLES: | PART A
$0 ded or co-ins
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| DME DEDUCTIBLES: | PART A
20% CO-INS. (20% of MC approved amt)
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| HOSPICE CARE DEDUCTIBLES: | PART A
$0 ded or co-ins
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| OP PRESCRIPTION DRUG DEDUCTIBLES WHILE IN HOSPICE: | PART A
Current year prescription drug copay. Up to $5 per script.
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| IP RESPITE CARE DEDUCTIBLES: | PART A
Current year respite care co-ins. 2023, 5% of MC approved amt.
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| 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.
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| 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.
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| OP PT, OT AND SPEECH DEDUCTIBLES: | PART B
NO DED, 20% CO-INS
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| OP MENTAL HEALTHCARE DEDUCTIBLES: | PART B
NO DED, 20% CO-INS
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| CLINICAL LAB SERVICES (BLOOD TEST, URINALYSIS AND MORE) DEDUCTIBLES: | PART B
$0 so long as it is a MC approved svc.
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| HOME HEALTH CARE DEDUCTIBLE: | PART B
$0 so long as it is a MC approved svc.
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| DME DEDUCTIBLES: | PART B
No ded, 20% co-ins.
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| OP HOSPITAL SERVICES DEDUCTIBLES: | PART B
Medicare-approved service:
Coinsurance or fixed copayment, which varies according to the service
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| 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
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