Medical expenses

• Doctor services
• Inpatient and outpatient medical and surgical services, and supplies
• Physical and speech therapy
• Diagnostic tests
• Durable medical equipment and other services

80% of approved amount (after $147 deductible)

60% of approved amount for most outpatient mental health services

$147 deductible,* plus 20% of approved amount and limited charges above approved amount**

*After you pay $147 for covered services, the Part B deductible does not apply to any other covered services you receive for the rest of the year.

**Federal law limits charges for doctor services.

Clinical laboratory tests
Blood test, urinalysis and more

Generally 100% of approved amount

Nothing for services

Home Health Care***
Part-time or intermittent skilled care, home health aide services, durable medical equipment and supplies, and other services  

***Part B pays for home health care only if you do not have Medicare Part A. If you have both Parts A and B, you'll have 100 visits under Part A and the remainder of the visits will be filed under Part B                                                                               

100% of approved amount

80% of approved amount for durable medical equipment

Nothing for services

20% of approved amount for durable medical equipment

Outpatient hospital treatment
Services for the diagnosis or treatment of an illness or injury

20% of billed amount (after $140 deductible)

Note: After you pay $147 for covered services, the Part B deductible does not apply to any other covered services you receive for the rest of the year.

Blood*
When furnished by a hospital or skilled nursing facility during a covered stay

*The three-pint blood deductible (donated or paid for) may be met by inpatient (Part A) or outpatient (Part B) care and is required only once in a calendar year.