Electrocardiogram (EKG or ECG) screenings
Part B (Medical Insurance) Referral Medically necessary
Covers certain doctors’ services, outpatient care, medical supplies, and preventive services.
A written order from your primary care doctor for you to visit a specialist or get certain medical services. Without a referral, your plan may not pay for services from a specialist.
Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.
Your costs in Original Medicare
- After you meet the Part B deductible, you pay 20% of the
Deductible
The amount you must pay for health care or prescriptions before Original Medicare, your Medicare Advantage Plan, your Medicare drug plan, or your other insurance begins to pay.Medicare-Approved Amount.Medicare-approved amount
The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount. - If you have the test at a hospital or a hospital-owned clinic, you also pay the hospital a copayment.
Copayment
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. A copayment is a fixed amount, like $30.
Frequency of services
Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and if, or how much, Medicare will pay for them.