Your Health

What Is the Medicare-Approved Amount?

When Does Medicare Pay?

Medicare only pays out the approved amount for your services or items when you meet the deductibles. Depending on the Medicare plan you are currently enrolling to, deductible expenses can vary. As of 2021, the deductibles for Medicare Part A and Part B are $1,484 and $203 per year, respectively. For Medicare Part C, there are drug plan deductible, out-of-network deductible, and in-network deductible. Regardless of your Medical plan, do your research to determine whether your current plan covers a specific item, test, or service. Some common services approved by Medicare include chemotherapy, mammograms, bariatric surgery, cardiovascular screenings, physical therapy, and durable medical equipment. [4]