Medicare_3 Flashcards
Are chiropractic services covered?
The only service ordered by a chiropractor that Medicare covers is the manipulation of the spine to correct a subluxation (when the spinal joints fail to move properly, but the contact between the joints remains intact). You
pay 20% of the Medicare-approved amount. The Part B deductible applies.
(CPAP) devices, accessories, & therapy
After the trial period, Medicare may continue to cover CPAP therapy, devices, and accessories if you meet with your doctor in person, and your doctor documents in your medical record that you meet certain conditions and the therapy is helping you. You pay 20% of the Medicare-approved amount for the machine rental and purchase of related supplies (like masks and tubing).
COVID-19 Vaccines:
You pay nothing for the COVID-19 vaccine.
* Be sure to bring your red, white, and blue Medicare card when you get the vaccine so your healthcare provider or pharmacy can bill Medicare. If you’re in a Medicare Advantage Plan, you must use the card from your plan to get your Medicare-covered services
Diagnostic laboratory Covid tests:
FDA-authorized tests check to see if you have COVID-19.
* You pay nothing when a health care provider orders this test and the test is performed by a laboratory (including at a pharmacy, clinic, or doctor’s office), or hospital that takes Medicare. If you’re in a Medicare Advantage Plan, you pay nothing when you get this test from an in-network provider.
Part B drugs:
Part B covers a limited number of outpatient prescription drugs, like:
* Injections you get in a doctor’s office
* Certain oral anti-cancer drugs
* Drugs used with some types of durable medical equipment (like a nebulizer or external infusion pump)
* Intravenous Immune Globulin for use in the home
* Certain drugs you get in a hospital outpatient setting (under very limited circumstances)
Durable medical equipment (DME)
Medicare covers medically necessary items like oxygen and oxygen equipment, wheelchairs, walkers, and hospital beds when a Medicare-enrolled doctor or other health care provider orders for use in the home. You pay 20% of the Medicare-approved amount.
Will Medicare pay for eyeglasses?
Medicare covers one pair of eyeglasses with standard frames (or one set of contact lenses) after each cataract surgery that implants an intraocular lens. After you meet the Part B deductible, You pay 20% of the Medicare-approved amount for corrective lenses after cataract surgery with an intraocular lens.
Kidney (renal) dialysis services & supplies
Generally, Medicare covers 3 dialysis treatments (or equivalent continuous ambulatory peritoneal dialysis) per week if you have End-Stage Renal Disease (ESRD).
Travel outside of the United States of America
Medicare generally doesn’t cover health care while you’re traveling outside the U.S. (the “U.S.” includes the 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa).
“Welcome to Medicare” preventive visit
During the first 12 months that you have Part B, you can get a “Welcome to Medicare” preventive visit. The visit includes a review of your medical and social history related to your health. It also includes education and counseling about preventive services, including certain screenings, shots or vaccines (like flu, pneumococcal, and other recommended shots or vaccines), and referrals
for other care, if needed.
Who pays for long-term care?
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