Medicare part B generally covers emergency department services in the case of an emergency. For example in the event of an injury or sudden illness. If you make an emergency department visit for a non-emergency, then services may not be covered.[1][2]

With Part B and emergency care:

  • You pay a copayment for each emergency department visit and a copayment for each hospital service.
  • You also pay 20% of the Medicare-approved amount for your doctor’s services, and the Part B deductible applies.
  • If you’re admitted to the same hospital for a related condition within 3 days of your emergency department visit, you don’t pay the copayment because your visit is considered part of your inpatient stay.

Meanwhile, some Medicare Advantage and Medigap plans can lower these costs, and Medicare Part D can help cover drug-related costs.

TIP: Make sure to coordinate with your doctor or healthcare provider as soon as you are able to better understand what costs you may incur, what services you may need that aren’t considered emergency services, and if any services you might need would be out-of-network.

Citations

  1. Emergency department services. Medicare.Gov.
  2. Does Medicare Cover Emergency Room Visit Costs?. eHealth.com.