Medicare Out of Pocket 2019

//Medicare Out of Pocket 2019
Medicare Out of Pocket 20192018-10-15T09:56:51+00:00

The following are my personal notes and is not a legal description of Medicare.

Notes on Medicare Supplements effects on Medicare A & B Coverages assuming the insured has our recommendation of Medicare Supplement Plan G and a Part D Prescription Card.

Eligible Charges

  • The single, annual $185.50 deductible for Part B (doctors).
  • Prescription Deductibles & Co-pays under your Part D policy.

Non-eligible Charges

  • Hospital observation. (You must be formally admitted for coverage!)
  • Physicians who have opted-out of Medicare (Private contracting – Boutique practices)
  • Drugs not covered by your Part D policy.
  • Some doctor wellness testing – ask before your physical.
  • Physical Therapy (PT) and Speech-Language Pathology (SLP) services combined in excess of $1,980.
  • Hearing aids and exams for fitting them.
  • Nursing home custodial care. (Long term care is the answer – ask me)
  • More than 190 days of inpatient psychiatric hospital services during your lifetime.
  • Hospitalization after Lifetime Reserve of 60 days is exhausted and the additional year supplements provide.
  • Acupuncture
  • Chiropractic (except for adjustments)
  • Routine foot care