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Questions and Answers
What does Medicare Part B cover related to doctor's services?
What does Medicare Part B cover related to doctor's services?
- Routine physical exams
- Both B and C (correct)
- 'Welcome to Medicare' physical
- Annual wellness visit
Name two types of services that Medicare Part B covers.
Name two types of services that Medicare Part B covers.
Outpatient medical services and durable medical equipment.
What type of care does Medicare Part B provide for mental health?
What type of care does Medicare Part B provide for mental health?
- Outpatient care only
- No mental health care
- Inpatient care only
- Both inpatient and outpatient care (correct)
What is covered under Medicare Part B concerning diagnostic tests?
What is covered under Medicare Part B concerning diagnostic tests?
What vaccinations does Medicare Part B cover?
What vaccinations does Medicare Part B cover?
Medicare Part B covers only outpatient services.
Medicare Part B covers only outpatient services.
Which of the following is NOT covered by Medicare Part B?
Which of the following is NOT covered by Medicare Part B?
What does Medicare Part B cover in terms of outpatient hospital services?
What does Medicare Part B cover in terms of outpatient hospital services?
Medicare Part B covers __________ for outpatient physical and occupational therapy.
Medicare Part B covers __________ for outpatient physical and occupational therapy.
What type of diabetes services does Medicare Part B provide?
What type of diabetes services does Medicare Part B provide?
Match the following services with their coverage under Medicare Part B:
Match the following services with their coverage under Medicare Part B:
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Study Notes
Medicare Part B Coverage Overview
- Covers doctor's services, excluding routine physical exams, except for the "Welcome to Medicare" exam and annual wellness visits focused on preventive services.
- Includes outpatient medical and surgical services, providing essential health care without hospitalization.
Diagnostic and Laboratory Services
- Covers diagnostic tests to determine health conditions.
- Includes clinical laboratory services such as blood tests and urinalysis.
Medical Equipment and Supplies
- Provides coverage for durable medical equipment like wheelchairs, oxygen supplies, and prosthetics.
- Covers medical supplies, including ostomy bags and surgical dressings.
Preventive Services
- Offers various screening services:
- Colorectal cancer, diabetes, glaucoma, and mammogram screenings.
- Cardiovascular screenings every five years for heart disease detection.
- Vaccinations for flu, pneumonia, and hepatitis B are covered.
Therapy and Rehabilitation
- Covers outpatient mental health care and physical therapy, including speech-language therapy.
- Includes medical nutrition therapy for individuals with diabetes or kidney disease.
Surgical and Emergency Services
- Covers second surgical opinions and ambulatory surgery center facility fees.
- Emergency care and ambulance services are included if other transport endangers health.
Home and Community Services
- Home health care is covered under specific requirements.
- Telehealth services are available in some rural areas, under certain conditions.
Specialized Treatments and Screenings
- Provides coverage for screenings related to sexually transmitted infections and pregnancy.
- Includes intensive behavior therapy for obesity and screening for depression.
Additional Coverage
- Limited prescription drug coverage includes certain outpatient drugs, primarily for cancer treatment.
- Coverage for transplants (e.g., heart, kidney) performed in Medicare-approved facilities, under specific conditions.
Miscellaneous Services
- Eye exams leading to eyeglasses post-cataract surgery are covered once.
- Professional services provided by social workers, physician assistants, and nurse practitioners are included.
Travel and Urgent Care
- Limited coverage for health care needed while traveling outside the United States.
- Urgently needed care for sudden illnesses not classified as emergency situations is available.
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