How does Medicare handle coverage for: Emergency Room Services?
Concerning Emergency Room Services, Medicare handles coverage as follows: Coverage: A medical emergency is when you believe that your health is in serious danger. You may have a bad injury, sudden illness, or an illness quickly getting much worse. Medicare covers emergency room services. Emergency services are not covered in foreign countries, except in some instances in Canada and Mexico. For more information, please refer to the Travel coverage information. Emergency room visits usually include both facility charges and doctorÂ’s charges. Note: If you are admitted to the hospital within 1-3 days of the emergency room visit for the same condition, the emergency room visit is included in the inpatient hospital care charges, not charged separately. Co-Payment: You pay 20% of the facility charge or applicable copayment for each emergency room visit; you do NOT pay this amount if you are admitted to the hospital for the same condition within 1-3 days of the emergency room visit. You pay 2
