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Clinical Research Studies Medicare Coverage Detailed

Your Medicare Coverage

Clinical Research Studies Detailed

Coverage: Conditions that must be met before Medicare will provide coverage, and limits to coverage.

Medicare will help pay for some of your costs if you join a covered clinical research study.

Medicare pays routine costs for items and services, including:

  • Room and board for a hospital stay that Medicare would pay for even if you weren't in a covered research study.
  • An operation to implant an item that’s being tested.
  • Treatment of side effects and complications that may result from the study.
Medicare won't pay for:

  • The new item or service the study is testing (except for certain medical devices) unless Medicare would cover the item or service even if you weren't in a study.
  • Items and services the study gives for free. Many times the study sponsor will give the treatment for free.
  • Items or services given only to collect data and not used in your direct health care, like monthly CT scans for a condition that usually requires only a yearly scan.
  • Coinsurance and deductibles.

CoPayment: The amount you need to pay.

You may have to pay 20% of the Medicare-approved amount, depending on the treatment you get. The Part B deductible may apply.

Medicare Part: The part of Medicare that pays for this service or supply.

B

Organization Name: The organization name that this coverage topic is associated with.

Important Notes: Details regarding important notes about the coverage.

None