Home Health Care Part-time or intermittent skilled care, home health aide services, durable medical supplies and other services.
100% of approved amount; 80% of approved amount for durable medical equipment
Nothing for Services; 20% of approved amount for durable medical equipment
Outpatient Hospital Treatment Services for the diagnosis or treatment of an illness or injury
Medicare payment to hospital based on hospital cost
20% of Billed Amount
After first 3 pints of blood, 80% of approved amount
First 3 pints plus 20% of approved amount for additional pints
On all Medicare-covered expenses, a doctor or other health care provider may agree
to accept Medicare "assignment." This means the patient will not be required
to pay any expense in excess of Medicare's "approved" charge. The patient
pays only 20% of the "approved" charge not paid by Medicare.
Physicians who do not accept assignment of a Medicare claim are limited as to the
amount they can charge for covered services.
Texas Insurance services Inc.
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