Outpatient Surgery is covered under Medicare Part B. Part A covers Hospital stays. Part B covers outpatient costs such as outpatient surgery, doctor visits, outpatient lab and xrays. Under Part B you are responsible for 20% of the Medicare approved amount. Some states allow a doctor to charge up to 15% more than the Medicare approved amount that would also be your responsibility.
Medicare Part A is designed for inpatient hospital treatment only. Even though some outpatient surgery may be performed in a hospital setting, or hospital affiliated clinic, outpatient surgery is a covered item under Medicare Part B.
Medicare part B has an annual deductible. In 2013 the Part B deductible is $147. After you have satisfied your deductible Medicare pays 80% of the approved amount and you are responsible for the remaining 20%. If you use a provider that does not accept assignment, excess charges may apply.
Some (but not all) Medicare supplement plans cover excess charges.
Co-Founder, TermInsuranceBrokers.com, Goldenzweig Financial Group, Las Vegas, Nevada
Outpatient surgery would be covered under Medicare Part B. Part A covers inpatient hospital stays and procedures.
Please note, Part A & Part B only cover 80% of the costs after the deductibles (Part A - $1,216 in 2014; Part B - $147 in 2014). You can purchase a Medigap plan to cover the deductibles and the other 20% of your medical care.
Please feel free to contact me with any other questions. Thanks very much.
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Medicare part B has an annual deductible. In 2013 the Part B deductible is $147. After you have satisfied your deductible Medicare pays 80% of the approved amount and you are responsible for the remaining 20%. If you use a provider that does not accept assignment, excess charges may apply.
Some (but not all) Medicare supplement plans cover excess charges.
Please note, Part A & Part B only cover 80% of the costs after the deductibles (Part A - $1,216 in 2014; Part B - $147 in 2014). You can purchase a Medigap plan to cover the deductibles and the other 20% of your medical care.
Please feel free to contact me with any other questions. Thanks very much.