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#1 2018-12-18 21:39:15

Bmono24
Head Editor
From: Florida
Registered: 2018-12-18
Posts: 4
Website

Covered for emergency and urgent care in Medicare advantage?

Are you covered for emergency care with all the Medicare advantage plans?  How about Medigap plans?

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#2 2018-12-29 18:21:56

Mike Demiurge
Head Editor
Registered: 2018-12-18
Posts: 254
Website

Re: Covered for emergency and urgent care in Medicare advantage?

Even though they seem the same, there is a difference between Emergency and Urgent Care.

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#3 2019-01-07 13:57:46

Jenny Reardan
Member
Registered: 2018-12-18
Posts: 42

Re: Covered for emergency and urgent care in Medicare advantage?

What covers the Emergency care is Medicare Part B which is unusual because Medicare part A is what covers hospital services.  If a Medicare recipient gets an illness or an injury and has to get emergency care they will use their Medicare part B.  A person will have a copayment for each hospital visit and also a copay for each emergency room visit.  A Medicare part B deductible will also apply to the person they will be responsible to pay it.  They will also pay twenty percent of the doctors approved services ((unless)) they have a Medigap plan or a Medicare advantage plan that picks up the tab.  With all of that being said, a person that has a Medicare advantage plan must first look at his or her individual policy to see what emergency care or urgent care will cost.  A Medigap plan covers some of the gaps in Original Medicare but the advantage plans take over the whole policy.  With an advantage plan it is as if Medicare doesn't exist in your policy.  My best advice is to ask a thorough question on here and have multiple agents respond with answers so you can make a good choice.

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#4 2019-02-20 00:13:42

Nancy Spivey
Member
Registered: 2019-01-07
Posts: 105
Website

Re: Covered for emergency and urgent care in Medicare advantage?

A Medicare Advantage plan is required to cover everything that Original Medicare covers.   However, your out of pocket costs may vary.  With a Medicare Advantage plan you will have a co-payment for each emergency room visit.  Medicare does cover emergency room visits.  If you are admitted to the hospital after an emergency room visit then Medicare Part A does help cover the costs for your hospital stay.  However, Medicare Part A does not cover emergency room visits that do not result in you being admitted to hospital
.

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