Outpatient rehabilitation services 20% of the cost for Medicare covered services Covered services include: physical therapy, occupational therapy, and speech language therapy. Outpatient rehabilitation services are provided in various outpatient settings, such as hospital outpatient departments, independent therapist offices, and Comprehensive Outpatient Rehabilitation Facilities (CORFs). Outpatient substance abuse services 20% of the cost for Medicare covered services Non-residential ambulatory services provided for the treatment of drug or alcohol dependence without the use of pharmacotherapies. Services may include group or individual therapy. Outpatient surgery, including services provided at hospital 20% of the cost for outpatient facilities and ambulatory surgical centers Medicare covered services Note: If you are having surgery in a hospital facility, you should check with your provider about whether you will be an inpatient or outpatient. Unless the provider writes an order to admit you as an inpatient to the hospital, you are an outpatient and pay the cost-sharing amounts for outpatient surgery. Even if you stay in the hospital overnight, you might still be considered an “outpatient.” Partial services is a structured program of active 20% of the cost for “Partial hospitalization” psychiatric treatment provided as a hospital outpatient service or Medicare covered services by a community mental health center, that is more intense than the care received in your or office and is an doctor’s therapist’s alternative to inpatient hospitalization. Note: Because there are no community mental health centers in our network, we cover partial hospitalization only as a hospital outpatient service.]
Outpatient rehabilitation services Covered services include: physical therapy, occupational therapy, and speech language therapy. Outpatient rehabilitation services are provided in various outpatient settings, such as hospital outpatient departments, independent therapist offices, and Comprehensive Outpatient Rehabilitation Facilities (CORFs). 20% of the cost for Medicare covered services Outpatient substance abuse services Non-residential ambulatory services provided for the treatment of drug or alcohol dependence without the use of pharmacotherapies. Services may include group or individual therapy. 20% of the cost for Medicare covered services Outpatient surgery, including services provided at hospital outpatient facilities and ambulatory surgical centers Note: If you are having surgery in a hospital facility, you should check with your provider about whether you will be an inpatient or outpatient. Unless the provider writes an order to admit you as an inpatient to the hospital, you are an outpatient and pay the cost-sharing amounts for outpatient surgery. Even if you stay in the hospital overnight, you might still be considered an “outpatient.” 20% of the cost for Medicare covered services Partial services “Partial hospitalization” is a structured program of active psychiatric treatment provided as a hospital outpatient service or by a community mental health center, that is more intense than the care received in your doctor’s or therapist’s office and is an alternative to inpatient hospitalization. Note: Because there are no community mental health centers in our network, we cover partial hospitalization only as a hospital outpatient service.] 20% of the cost for Medicare covered services
H4093_ISNP_HMO_NONPOS_Model_wRx_v2-PA_EOC.docx