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What will I pay in a Medicare private health plan? Question 2 of 9 (use "Last" or "Next" buttons to see more) Last Update: December 11, 2008
- You generally must pay the Medicare Part B premium. Some Medicare private health plans may also charge you an extra premium. In some cases, the plan may pay part of your Part B premium.
- Medicare private health plans generally do not make you pay a deductible for doctor visits. But they may charge a deductible for hospital visits and prescription drugs.
- Medicare private health plans usually charge you a copayment—a fixed dollar amount—when you visit a doctor, instead of the 20 percent coinsurance you pay under Original Medicare.
- Some Medicare private health plans charge higher copayments for specialty care.
- Many Medicare private health plans have a network of doctors, hospitals and pharmacies, and provide services only in a certain part of the country. You will have to pay more for your health services if you get care outside of the plan’s network or service area.
- Different plans have different rules for how and where you can get coverage. You may have to pay the full cost of services yourself if you do not follow your Medicare private health plan’s rules.
 To find out what you pay per month in Original Medicare and what services cost, click on the links in the GO TO box.
To find out more about the types of Medicare private health plans, click on the link in the GO TO box.
To find out about your Medicare coverage options, click on the link in the GO TO box.
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