A. With Medicare, you are responsible to pay the following:
- 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 can’t be
more than the Medicare Part A inpatient hospital deductible
($912 in 2005).
- All charges for items or services that Medicare doesn’t 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.
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