Inpatient Services | Master Medical Carve-Out Pays |
---|---|
General or chronic disease hospital care | Full coverage of Medicare deductible and co-insurance for days 1–90 Full coverage of lifetime reserve day co-insurance Full coverage for room and board and special services (as many days as medically necessary) |
Physician or other professional provider | Full coverage of Medicare deductible and co-insurance (as many days as medically necessary) |
Outpatient Services1 | Master Medical Carve-Out Pays |
Emergency medical care services and hospital charges for medical care including podiatry, surgery and related anesthesia, radiation therapy, X-rays and laboratory tests, hemodialysis, pap smear tests, and mammograms | Full coverage of Medicare deductible and co-insurance |
Physical therapy, speech pathology, and occupational therapy in a hospital or emergency room | Full coverage of Medicare deductible and co-insurance |
- Most services may be provided in a hospital outpatient department, clinic, or physician's or other professional provider's office or a home.