Original Medicare Part A’s deductible
Part A coinsurance and hospital costs up to an additional 365 days after Medicare’s benefits are all used up
Part B coinsurance (AFTER a $20 office visit copay)
First three pints of blood used in an approved medical procedure
Skilled nursing facility coinsurance
Part B Deductible (Once a year)
$20 Office Copay
$50 Emergency Room Copay (unless checked in as an Inpatient at which point the $50 is waived)
Part B Excess Coverage

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Coverage options vary by eligibility and provider.