Fair Square Medicare Wordmark

How Does Medicare Pay for Emergency Room Visits?

Emergency section of a hospital exterior stock photo
By Daniel Petkevich
Nov 21, 2022

Avoid the stress by knowing how you are covered

The different parts of Medicare can get confusing. Sometimes it might feel like trying to make sense out of

alphabet soup

. You may remember Part A is considered Hospital insurance, and Part B is considered Medical insurance. But where does an emergency room visit land in terms of your Medicare coverage? The answer is Part B. So how does that affect your cost? Let's talk it through.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Why not Medicare Part A?

Medicare Part A is your hospital insurance, which helps cover inpatient care you receive in a hospital, nursing facility, or hospice. So if you are in the emergency room, you might then be admitted to the hospital depending on your ailment. If that happens, your coverage will go to Part A, and you won't need to worry about copays for Part B. If you are not admitted to the hospital, your emergency room visit will be covered by Part B.

What is Medicare Part B?

Medicare Part B is your medical insurance, and it helps cover medically necessary doctor visits, preventive care, and other services. This also includes emergency room visits and outpatient care.
That means you will be responsible for the following:
  • ER visit copayment
  • Hospital service copayment
  • 20% of the approved Medicare costs
  • Your Part B deductible of $233 ($226 in 2023)
Medicare Part B covers emergency room visits that are medically necessary. If you have a Medicare Advantage Plan, you will likely have different coverage for emergency room visits. In this post, we'll examine how Medicare pays for emergency room visits and what you can expect if you need to use this benefit.
It's important to check your plan details so you know exactly what the costs will be. If you have a Medicare Supplement Plan G,

your out-of-pocket expenses

are limited to just the Part B deductible.

What are some things to keep in mind if you need to go to the ER?

If you're in a Medical Emergency and need to go to the ER, remember to call 911 first. Also keep in mind that if you go to a hospital that's out-of-network, you may be responsible for all costs. This is something you don't have to worry about on Medicare Supplement plans. On Medicare Advantage plans, going out-of-network can lead to surprise bills.

Takeaway

An emergency room visit is something no one wants to experience, but ultimately it could be important to have a plan for just in case. Plan to have a potential ER visit billed under Part B, and talk with a Medicare expert at Fair Square Medicare to make sure you aren't caught out with a huge bill. Give us a call at 1-888-376-2028.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

Sleep apena stock image
Does Medicare Cover Inspire for Sleep Apnea?
Dec 27, 2022
Medicare cost stock image
How Much Does Medicare Cost?
Jul 25, 2022
Mouth guard used to help treat sleep apnea
Does Medicare Cover Mouth Guards for Sleep Apnea?
Dec 8, 2022
Cover image
Does Your Plan Include A Free Gym Membership?
Jul 12, 2023
Fair Square
Do I Need to Renew My Medicare?
Nov 29, 2022
Unrecognizable person undergoing surgery in the clinic stock photo
Does Medicare Cover Robotic Surgery?
Nov 28, 2022
Cover image
Should You Work With A Remote Medicare Agent?
Sep 20, 2023
Medsupp Thumbnail
Plan G vs. Plan N
Jan 28, 2022
Diagnosis incontinence stock image
Does Medicare Cover Incontinence Supplies?
Dec 22, 2022
Dames Point Bridge in Jacksonville, Florida stock image
13 Best Ways for Seniors to Stay Active in Jacksonville
Mar 3, 2023
senior man reaching to his ear with jumbled letters going into the ear stock image
Does Medicare Cover Hearing Aids?
Nov 9, 2022
A cartoon signpost with HMO and PPO pointing in opposite directions
What's the Difference Between HMO and PPO Plans?
Dec 1, 2022
Abortion stock image
Does Medicare Cover Abortion Services?
Dec 13, 2022
senior woman doing botox stock photo
Is Botox Covered by Medicare?
Jan 19, 2023
Leg bones and knees, 3d rendering. stock photo
Does Medicare Cover Boniva?
Nov 29, 2022
Heart on Heart Rhythm Background Concept stock photo
Does Medicare Cover Cardiac Ablation?
Dec 9, 2022
Health insurance form on a table with pen, calculator and glasses stock image
What You Need to Know About Creditable Coverage
Jan 18, 2023
stack of books stock image
Do You Need Books on Medicare?
Apr 6, 2023

More of our articles

13 Best Ways for Seniors to Stay Active in Indianapolis

13 Best Ways for Seniors to Stay Active in Philadelphia

14 Best Ways for Seniors to Stay Active in Washington, D.C.

15 Best Ways for Seniors to Stay Active in Denver

2024 Fair Square Client Retention and Satisfaction Report

2024 Fair Square NPS Report

Building the Future of Senior Healthcare

Can I Change Medicare Advantage Plans Any Time? | Medicare Plans

Can I Have Two Primary Care Physicians?

Can I Laminate My Medicare Card?

Can I Use Medicare Part D at Any Pharmacy?

Comparing All Medigap Plans | Chart Updated for 2025

Do All Hospitals Accept Medicare Advantage Plans?

Does Medicare Cover Air Purifiers?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Breast Implant Removal?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover COVID Tests?

Does Medicare Cover Geri Chairs?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Home Heart Monitors?

Does Medicare Cover Hypnotherapy?

Does Medicare Cover Inqovi?

Does Medicare Cover Jakafi?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Lipoma Removal?

Does Medicare Cover Ofev?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover PTNS?

Does Medicare Cover Qutenza?

Does Medicare Cover RSV Vaccines?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover the Urolift Procedure?

Does Medicare Cover Tymlos?

Does Medicare Cover Urodynamic Testing?

Does Medicare Cover Wart Removal?

Does Medicare Cover Xiafaxan?

Does Medicare Have Limitations on Hospital Stays?

Does Medicare Pay for Antivenom?

Does Medicare Pay for Varicose Vein Treatment?

Does Your Medicare Plan Cover B12 Shots?

Fair Square Bulletin: We're Revolutionizing Medicare

Finding the Best Dental Plans for Seniors

How Are Medicare Star Ratings Determined?

How Can I Get a Replacement Medicare Card?

How Does Medicare Cover Colonoscopies?

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

How Much Does Open Heart Surgery Cost with Medicare?

How Much Does Xeljanz Cost with Medicare?

How Often Can I Change Medicare Plans?

How to Choose a Medigap Plan

How to Enroll in Social Security

How Your Employer Insurance and Medicare Work Together

Is Displacement Affecting Your Medicare Coverage?

Is Gainswave Covered by Medicare?

Is the Shingles Vaccine Covered by Medicare?

Medicare 101

Medicare Advantage MSA Plans

Medicare Deductibles Resetting in 2025

Medicare Explained

Medicare Savings Programs in Kansas

Medicare Supplement Plans for Low-Income Seniors

Medigap vs. Medicare Advantage

Welcome to Fair Square's First Newsletter

What is the 8-Minute Rule on Medicare?

What People Don't Realize About Medicare

What To Do If Your Medicare Advantage Plan Is Discontinued

Why Is Medicare So Confusing?

Will Medicare Cover Dental Implants?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M