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Page 4 · column 2 of 6 · from the scan, no model involved

The clipping this text was read from
The clipping this text was read from

Part A INPATIENT HOSPITAL SERVICES Includes semi-private room, special diet, general nursing, drugs and necessary inpatient services for 90 days per "spell of illness" YOU MUST PAY-first $40 of hospital charges —$10 per day, 61st—90th day Medicare does not cover care beyond 90th day Medicare does not cover care outside U. S. OUTPATIENT HOSPITAL DIAGNOSTIC SERVICES Includes 80% payment for diagnostic X-ray and laboratory service provided during 20-day period YOU MUST PAY—first $20 of hospital charges —20% of the charges OTHER OUTPATIENT HOSPITAL SERVICES ' Medicare does not cover

80.2%