From Sharon O'Brien,
Your Guide to Senior Living.
FREE Newsletter. Sign Up Now!

A. 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