Did You Know: 2024 Medical Deductible Overview
For 2024, some Medicare Advantage plans will have a Medical Deductible that members pay for covered services before the plan benefits apply. Services that count toward the deductible vary by plan.
- Amounts paid toward the deductible do count toward the out-of-pocket maximum (MOOP)
- Premiums, cost sharing for ancillary benefits and Rx costs do not count toward the deductible or MOOP
- Deductibles do not apply to preventive, emergency or urgently needed services
- A plan’s Rx deductible is separate from the medical deductible
- Members who have Medicaid do not pay the plan deductible
- When there’s a medical deductible for both in-network (INN) and out-of-network services (OON), it is a combined deductible amount
- Important: Diagnostic mammograms and colonoscopies are not subject to the medical deductible
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