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3 terms

Medicare Covers

STUDY
PLAY
Medical Necessity & frequency limitations
defined in: LCDs (local coverage determination), NCDs (national coverage determination)
beneficiary pays
20% of medicare-approved amnt after deductible is met, Part A & B annual deductible
Medicare Pays
Part A all covered costs except deductible, Part B 80% of medicare-allowed amnt of covered svcs after deductible is met.