Your Medicare Coverage
Is my test, item, or service covered?
How often is it covered?
- A hospital if you're an outpatient
- A freestanding ambulatory surgical center if you're a patient
All people with Medicare Part A and/or Part B are covered.
Your costs in Original Medicare
You pay 20% of the Medicare-approved amount for the anesthesia services provided by a doctor or certified registered nurse anesthetist. The Part B deductible applies. The anesthesia service must be associated with the underlying medical or surgical service. You may have to pay an additional copayment to the facility.
To find out how much your test, item, or service will cost, talk to your doctor or 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
- Where you get your test, item, or service
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 whether Medicare will pay for them.