| Blood |
You pay all costs for the first three pints of blood you get
as an outpatient, then 20% of the Medicare-approved
amount for additional pints of blood (unless donated to
replace what’s used). |
Clinical
Laboratory
Services |
You pay $0 for Medicare-approved ed services. |
Deductible |
You pay the first $131 yearly for Part B-covered
services or items. |
Home Health
Services |
You pay $0 for Medicare-approved services. You pay
20% of the Medicare-approved amount for durable
medical equipment. |
Medical and
Other Services |
You pay 20% of the Medicare-approved amount for
most doctor services, outpatient therapy*, most
preventive services, and durable medical equipment. |
Mental Health
Services |
You pay 50% for outpatient mental health care. |
Other Covered
Services |
You pay copayment and coinsurance amounts. |
Outpatient
Hospital Services |
You pay a coinsurance or copayment amount that varies by
service. |
Ambulatory
Surgery Center |
Facility fees are covered for approved services. |
Bone Mass
Measurement |
To help see if you are at risk for broken bones. This service is
covered once every 24 months (more often if medically
necessary) for people with Medicare who meet certain medical
conditions. |
Ambulance
Services |
When you need to be transported to a hospital or skilled nursing
facility, and transportation in any other vehicle would endanger
your health. |
Cardiovascular
Screenings |
Every five years to test your cholesterol, lipid, and triglyceride
levels to help prevent a heart attack or stroke. |
Chiropractic
Services
(limited) |
To correct a subluxation (when one or more of the bones of your
spine moves out of position) using manipulation of the spine. |
Clinical Trials |
To help doctors and researchers find better ways to prevent,
diagnose, or treat diseases. Clinical trials test new types of
medical care, like how well a new cancer drug works. Routine
costs are covered if you take part in a qualifying clinical trial
(may not cover the costs of experimental care, such as the
drugs or devices being tested in a clinical trial). |
dba. Medical Plans of Idaho (MPI)
