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Deductible

Deductible

The amount that must be paid for healthcare or prescriptions before Original Medicare, a Medicare Advantage Plan, a Medicare drug plan, or other insurance begins to pay.

The amount that must be paid for healthcare or prescriptions before Original Medicare, a Medicare Advantage Plan, a Medicare drug plan, or other insurance begins to pay.

  • A Medicare deductible is a set amount that a beneficiary is required to pay for covered medical services or supplies before their Medicare coverage begins to pay. Deductibles are typically required to be paid in full before the beneficiary receives any benefits and may vary depending on the type of service, or supply, they are receiving.
  • For example, if a Medicare beneficiary visits a doctor for an office visit, they may be required to pay a deductible before their Medicare coverage begins to pay for the visit. If a beneficiary visits the doctor for a different type of service, such as a laboratory test, they may be required to pay a different deductible amount.
  • It is important to note that Medicare deductibles can vary depending on the type of service or supply a beneficiary is receiving, as well as the specific Medicare plan they have. Some plans may have higher or lower deductibles for certain services or may have different deductibles for inpatient and outpatient services.

Understanding your deductible helps in budgeting for healthcare costs and navigating coverage options effectively.

Curious about how deductibles affect your Medicare coverage? Download our detailed e-book to master your healthcare finances.

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