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Surgery and chemotherapy can cost thousands under Medicare, depending on whether you have Original Medicare alone, a supplement, or a Medicare Advantage plan with an out-of-pocket maximum.
Yes, Medicare Advantage plans typically limit you to a network of doctors and hospitals. Seeing providers outside that network may cost more or may not be covered at all, depending on the plan type.
Several Medicare Advantage carriers include University of Utah Health providers in their networks, but coverage depends on the specific plan and whether those providers are in-network or out-of-network. Always verify before enrolling.
Medicare covers skilled nursing facility care for up to 100 days per benefit period after a qualifying hospital stay of at least three days. The first 20 days have no coinsurance under Original Medicare, but days 21 through 100 require a daily cost-sharing amount.
Medicare Advantage plans generally cover out-of-network emergency care, but non-emergency care at an out-of-network hospital may cost significantly more or may not be covered at all, depending on your plan type.