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 also pay 20% of the Medicare-Approved Amount for your doctor's services, and the Part B deductible [glossary] applies.
  • 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
  • Whether your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service
Things to know

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

Is my test, item, or service covered?

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