Medicare Coverage: Emergency Room Services
|
|
|
Emergency Room Services
You pay 20% of the facility charge or applicable copayment for each emergency room visit; you do NOT pay this amount if you are admitted to the hospital for the same condition within 1-3 days of the emergency room visit.
You pay 20% of doctor charges.
A medical emergency is when you believe that your health is in serious danger. You may have a bad injury, sudden illness, or an illness quickly getting much worse.
Medicare covers emergency room services. Emergency services are not covered in foreign countries, except in some instances in Canada and Mexico. For more information, please refer to the Travel coverage information.
Emergency room visits usually include both facility charges and doctor's charges.
Note: If you are admitted to the hospital within 1-3 days of the emergency room visit for the same condition, the emergency room visit is included in the inpatient hospital care charges, not charged separately.
Medicare is the name given to a health
insurance program administered by the United States government,
covering people who are either age 65 and over, or who meet other special
criteria.
|