Alert
Close

Think you know AARP? What you don't know about us may surprise you. Discover all the 'Real Possibilities'

HIGHLIGHTS

Open

REAL POSSIBILITIES

AARP Real Possibilities

DRIVER SAFETY

Piggy bank on the road - AARP Driver Safety

Take the new AARP Smart Driver Course!

Contests and
Sweeps

Dream Vacation Sweepstakes

10 weeks. 10 amazing trips. Seize your chance to win!
See official rules. 

CHECK OUT OUR
NEW IPAD APP!

ATM Mobile App for iPhone and Ipad

Enjoy the best of AARP’s award-winning publications

on the go with the new

AARP ePubs iPad App

KEEP BRAIN ACTIVE!

AARP Games - Play Now!

AARP Books

Medicare for Dummies book cover

Get the answers you need, from Patricia Barry, AARP's Ask Ms. Medicare

Most Popular

Viewed

Commented

share your Thoughts

Reader stories help us fine-tune our education efforts and strengthen our calls for action on issues that matter most to you. We read and learn from every story and may use yours (with permission) to brief legislators, inspire other readers and more. Please share your story with us. Do

How to Read Your Part A Medicare Summary Notice (full text)

AARP's "decoder" shows you what you need to know

26. Amount Charged: This is the total amount the facility billed Medicare for the service or treatment.

27. Noncovered Charges: Medicare doesn't cover all of your medical expenses. For example, Medicare does not pay for copies of X-rays or the first three units of blood used in a transfusion. (For more about noncovered charges, see "What Medicare Doesn't Cover." To challenge an unpaid charge, see "Appealing a Medicare Claim Decision.")

28. Deductible and Coinsurance: Your outpatient services fall under your Medicare Part B deductible. This is the amount of money you pay out-of-pocket before Medicare helps with the costs. After you have met the annual deductible ($162 in 2011), you pay 20 percent of the Medicare-allowed fees for later charges.

Depending on the services you receive, you may also be charged a co-payment. For example, if you visit an emergency room and are not admitted to the hospital, you pay a co-payment directly to the hospital.

29. You May Be Billed: This is the maximum amount the hospital or facility can bill you. It can include your deductible and coinsurance or other charges Medicare does not cover. If you have Medicare supplemental insurance (also called Medigap), Medicare will send this claim information to your insurance company. Your Medigap policy should cover at least some of the costs not paid by Medicare.

30. See Notes Section: This column directs you to additional information about your claims. If there's a letter in this column, refer to the Notes Section (described by item No. 32) at the end of your Medicare Summary Notice.

31. This Is Not a Bill: Yes, that's right! Your Medicare Summary Notice is not a bill. It is a statement you should review for accuracy and keep for your personal records.

Very important: Never send a health care provider payment for charges listed on a Medicare Summary Notice until you've received a bill for the service directly from the provider. If you have already paid the provider, check to make sure what you paid matches the amounts on your Medicare Summary Notice. If you paid more than needed, contact the provider's billing office.

32. Notes Section: Medicare uses this area to give you extra information about the claims listed in your Medicare Summary Notice. If a letter code appears in the column called "See Notes Section," you'll find an explanation of that code here.

Topic Alerts

You can get weekly email alerts on the topics below. Just click “Follow.”

Manage Alerts

Processing

Please wait...

progress bar, please wait

Tell Us WhatYou Think

Please leave your comment below.

Medicare & Medicaid News

Discounts & Benefits

bring health To Life-Visual MD

AARP Bookstore

AARP Bookstore - woman reaches for book on bookshelf

VISIT THE HEALTH SECTION

Find titles on brain health, drug alternatives and losing weight. Do