For routine Pap tests For routine Pap tests For routine Pap smear 27 covered by Full covered by The tests covered by Medicare: Medicare: Medicare: benefits less the Part B Part B (the Nothing for one routine Pap coinsurance (the Part B Part B does not smear test per two years coinsurance deductible does not apply) apply) for one routine Pap (one per year for a deductible member for one routine Pap smear smear test per two years at high risk for cervical or test per two years (one per (one per year for a vaginal cancer) member year for a at high at high risk for cervical or member risk for cervical or vaginal vaginal cancer) cancer) For routine Pap smear For routine Pap smear For routine Pap smear 27 tests not covered by tests not covered by tests not covered by Nothing Full benefits for Nothing for one Medicare: Medicare: Medicare: one routine Pap smear test routine Pap smear test per per calendar year calendar year Surgery as an Outpatient Full benefits less the Part B The Part B and Nothing 28 deductible and Part B Part B deductible coinsurance coinsurance *Benefits for are provided based on the You may have to pay covered services allowed charge. any amount over the (See Parts 2 and 9.) allowed charge.
For routine Pap tests covered by Medicare: Full benefits less the Part B coinsurance (the Part B deductible does not apply) for one routine Pap smear test per two years (one per year for a member at high risk for cervical or vaginal cancer) For routine Pap tests covered by Medicare: The Part B coinsurance (the Part B deductible does not apply) for one routine Pap smear test per two years (one per year for a member at high risk for cervical or vaginal cancer) For routine Pap smear tests covered by Medicare: Nothing for one routine Pap smear test per two years (one per year for a member at high risk for cervical or vaginal cancer) 27 For routine Pap smear tests not covered by Medicare: Nothing For routine Pap smear tests not covered by Medicare: Full benefits for one routine Pap smear test per calendar year For routine Pap smear tests not covered by Medicare: Nothing for one routine Pap smear test per calendar year 27 Surgery as an Outpatient Full benefits less the Part B deductible and Part B coinsurance The Part B deductible and Part B coinsurance Nothing 28 *Benefits for covered services are provided based on the allowed charge. You may have to pay any amount over the allowed charge. (See Parts 2 and 9.)
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