Original Medicare (Parts A & B): Laboratory Tests, Outpatient Medical and Surgical Services and Supplies
Includes medically necessary diagnostic lab tests and other approved outpatient procedures when ordered by a provider.
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How To Receive
Details on how to apply
Obtain a provider order for the specific diagnostic testing or outpatient procedure.
Schedule the test(s) or procedure(s) at a facility enrolled in Medicare.
Attend the appointment and complete the testing or procedure.
Follow through on any recommendations or referrals made based on results.
Note that there is generally a copay for each service provided in a hospital outpatient setting, though in most cases the copay cannot be more than the Part A hospital stay deductible for each service received, and the member is responsible for all costs for items or services that Medicare does not cover.
For more information on Medicare benefits and coverage, call 1-800-MEDICARE (1-800-633-4227) or visit the Medicare Benefits Website. TTY users, call 1-877-486-2048.
Covered services
Blood tests
Urinalysis
Certain tests of tissue specimens
Some screening tests
Imaging (X-ray, MRI, CT, EKG/ECG, and some others)
Splints, casts, and other devices used to reduce fractures and dislocations
Stitches and staples
Surgical dressing services and supplies
Other outpatient surgeries
Note that covered services are not limited to these items.
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