Non-Physician Health Care Provider Services Detailed

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

Medicare covers the services of specially qualified nonphysician practitioners such as clinical psychologists, clinical social workers, nurse practitioners, clinical nurse specialists, physician assistants, certified registered nurse anesthetists, certified nurse midwives, and speech-language pathologists, as allowed by state and local law for medically necessary services.

CoPayment: The amount you need to pay.

You pay 20% of Medicare-approved amounts.

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.

Carrier (Part B)

Important Notes: Details regarding important notes about the coverage.

You must pay an annual $100 deductible for Part B services and supplies before Medicare begins to pay its share. Actual amounts you must pay may be higher if a doctor, health care provider, or supplier does not accept assignment.