Question: Which medical services are covered by other Medicare plans?
Answer: Some outpatient services are covered by Medicare, but aren’t paid for
under the outpatient prospective payment system. Medicare pays for these
services under other Medicare payment systems. These services include:
- Clinical diagnostic laboratory services
- Screening mammograms
- Ambulance services
- Physical therapy, occupational therapy, or speech-language therapy services
- Orthotics, non-implantable prosthetics, or durable medical Equipment
- Dialysis for End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant)
- Outpatient hospital services from critical access hospitals (small hospitals that give limited outpatient and inpatient hospital services to people in rural areas)
- Outpatient services from an Indian Health Service hospital
- Outpatient services from any hospital in Maryland (Maryland hospitals are paid under their state’s payment system.)
- Outpatient services from any hospital in Guam, Saipan, American Samoa, or the Virgin Islands
