Your Medicare Coverage

Is my test, item, or service covered?

Emergency department services

How often is it covered?

Medicare Part B (Medical Insurance) covers emergency department services. Generally, emergency department services are provided when you have an injury, a sudden illness, or an illness that quickly gets much worse.

Emergency services may be covered in foreign countries only in rare circumstances.

Who's eligible?

All people with Medicare are covered.

Your costs in Original Medicare

  • You pay a copayment for each emergency department visit and a copayment for each hospital service.
  • You also pay 20% of the Medicare-approved amount for the doctor's services, and the Part B deductible applies.
  • If you're admitted to the same hospital for a related condition within 3 days of your emergency department visit, you don't pay the copayment because your visit is part of your inpatient stay.  
Note

To find out how much your specific test, item, or service will cost, talk to your doctor or other health care provider. The specific amount you’ll owe may depend on several things, like other insurance you may have, how much your doctor charges, whether your doctor accepts assignment, the type of facility, and the location where you get your test, item, or service.

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