By Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS)
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You pay the doctor 20% of the Medicare-approved amount for the doctor’s services. You also pay the hospital a copayment but no more than the Part A hospital stay deductible (see page 132) if you get the device as a hospital outpatient. The Part B deductible applies. Section 1—Medicare Part A and Part B Part B-Covered Services Diabetes Screenings Medicare covers these screenings if you have any of the following risk factors: high blood pressure (hypertension), history of abnormal cholesterol and triglyceride levels (dyslipidemia), obesity, or a history of high blood sugar (glucose).
If the provider has to buy blood for you, you must either pay the provider costs for the first 3 units of blood you get in a calendar year or have the blood donated by you or someone else. You pay a copayment for additional units of blood you get as an outpatient (after the first 3), and the Part B deductible applies. Section 1—Medicare Part A and Part B Part B-Covered Services Bone Mass Measurement (Bone Density) Helps to see if you’re at risk for broken bones. This service is covered once every 24 months (more often if medically necessary) for people who have certain medical conditions or meet certain criteria.
63 64 Section 2—Your Medicare Choices Medicare Advantage Plans If You Have End‑Stage Renal Disease (ESRD) If you have End-Stage Renal Disease (ESRD), you usually can’t join a Medicare Advantage Plan. However, you may be able to join a Medicare Advantage Plan in the following situations: ■■If you’re already in a Medicare Advantage Plan when you develop ESRD, you can stay in your plan or join another plan offered by the same company under certain circumstances. ■■If you have an employer or union health plan or other health coverage through a company that offers Medicare Advantage Plans, you may be able to join one of their Medicare Advantage Plans.