- The yearly Medicare Part B deductible ($110 in 2005). This amount can change each year
- A copayment or coinsurance amount for each service you get in an outpatient visit. Each copayment or coinsurance amount cant be more than the Medicare Part A inpatient hospital deductible ($912 in 2005).
- All charges for items or services that Medicare doesnt cover.
- Example: Mr. Davis needs to have his cast removed. He goes to his local hospital outpatient department. The hospital charges $150 for this procedure. His copayment amount for this procedure, under the outpatient prospective payment system, is $16. Mr. Davis has only paid $50 of his $110 Medicare Part B deductible. To have his cast removed, Mr. Davis must pay $76 ($60 deductible + $16 copayment).
Note: If you have a Medigap policy (Medicare Supplement Insurance), other supplemental coverage, or employer or union coverage, it may pay for the Medicare Part B deductible, and copayment amount or coinsurance.