Summary

Medicare covers hospitalization, emergency room visits, ambulance transportation and treatment in medical emergencies, helping to reduce costs.

Emergency Care and Medicare: so you can be prepared

At Avila Medicare Solutions, we understand that medical emergencies can be stressful and confusing, especially for seniors. That's why it's crucial that you know how Medicare covers emergency care and what you should do if you need emergency services. In this article, we'll provide you with a detailed guide to Medicare and emergency care, helping you to be better prepared.

What Does Medicare Cover in a Medical Emergency?

Medicare offers coverage for a wide range of emergency services through both Part A (Hospital Insurance) and Part B (Medical Insurance).

1. Emergency Services Covered by Part A

Medicare Part A covers emergency care received in a hospital, including:

• HospitalizationIf you are admitted to the hospital as an inpatient, Medicare Part A will cover the costs of your hospital stay, including room, board, nursing care, and other necessary services.
• Emergency Hospital CareThe medical care you receive in the emergency room before you are admitted.

2. Emergency Services Covered by Part B

Medicare Part B covers emergency medical services that do not require hospital admission, such as:

• Emergency Room VisitsMedicare Part B covers 80% of Medicare-approved costs for emergency services, after you have paid your annual deductible.
• AmbulancesMedicare Part B covers ambulance transportation if other means of transportation would be dangerous to your health. This includes transportation to the hospital, critical care facility, or home.
• Diagnostic Tests and TreatmentsTests and treatments you receive in the emergency room, including blood tests, x-rays, and medications.

Steps to Follow in Case of Medical Emergency

In the event of a medical emergency, follow these steps to make sure you get the right care and understand how Medicare can help you:

2. Bring your Medicare Card

Be sure to bring your Medicare card and any other health insurance information with you when you go to the hospital. This will facilitate the billing process and ensure that you are billed correctly.

3. Report to the Medical Staff

Tell the medical staff that you are a Medicare beneficiary. This will help them coordinate your care and make sure the services are billed correctly to Medicare.

4. Review your Medical Bills

After you receive emergency care, carefully review your medical bills and the Medicare Summary Notice (MSN) you receive in the mail. This will help you understand what services were covered and if there are any additional costs you may have to pay.

Maximizing Your Emergency Benefits

1. Know your Coverage

Familiarize yourself with the details of your Medicare emergency coverage. This includes knowing the deductibles, copayments and coinsurance that may apply.

2. Consider a Medicare Advantage Plan

Medicare Advantage plans may offer additional coverage for emergency services and may have lower out-of-pocket costs. Review the options available and choose a plan that best suits your needs.

Bring a list of your current medications, allergies and medical conditions. This can be crucial to receiving proper treatment in an emergency situation.

At Avila Medicare Solutions, we are dedicated to providing you with the information and support you need to handle emergency medical situations with confidence. If you have questions about Medicare and emergency care, or need help understanding your coverage, don't hesitate to contact us.

Visit our Page or call us at 855-GO-AVILA to schedule a free consultation. Our team of experts is here to provide you with the expert advice you need to maximize your Medicare benefits and ensure your well-being.

Let us be your partner in managing your health and optimizing your Medicare coverage. At Avila Medicare Solutions, we are here to help you every step of the way.