Emergency department services

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

Your costs in Original Medicare
  • You pay a  copayment  for each emergency department visit and a copayment for each hospital service you get.
  • After you meet the Part B deductible , you also pay 20% of the  Medicare-Approved Amount  for your doctor's services.
  • If your doctor admits you 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 considered part of your inpatient stay.  

Note:

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
  • If your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service
Things to know

Medicare only covers emergency services in foreign countries under rare circumstances.