Is the ER free with Medi-Cal?

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asked Jun 25, 2023 in Other- Health by Pamward1544 (1,220 points)
Is the ER free with Medi-Cal?

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answered Jun 25, 2023 by Daltonthreet (11,170 points)
The ER is free with Medi-Cal if you need the emergency room services and it is a medical emergency.

However if you just visit the ER and it's not an actual medical emergency then Medi-Cal may not cover the entire cost of the ER.

Medi-Cal covers emergency room services for enrolled members of Medi-Cal and if you should your BIC to the emergency room staff then Medi-Cal will pay for the services that you receive.

The cost to go to the ER with Medi-Cal is $5.00 if you don't actually need the the emergency room service and if you do need the emergency room service then you may only have to pay $1.00 or may not have to pay anything with Medi-Cal for the ER visit.

If you get a medical or dental service or prescribed medicine then the cost is usually $1.00

Medi-Cal does cover CT scans that are ordered by the doctor.

The Medi-Cal reimbursement for the CT scans of multiple anatomic sites that are performed at teh same session and time on the same date are.

Medi-Cal reimbursement for the professional component (modifier 26) is 100 percent for the CT scan with the highest reimbursement price and 75 percent for all other CT scans.

Medi-Cal covers most medically necessary care which also includes doctor and dentist appointments, prescription drugs, vision care, family planning, mental health care, and drug or alcohol treatment.

Medi-Cal also covers transportation to these services.

Free air on a CT scan means and indicates a perforated abdominal viscus.

The most common cause of the perforated abdominal viscus is a peptic ulcer.

People with this condition need urgent surgery.

A PET Scan is better than a CT Scan as it shows more issues than a CT Scan does.

However a PET Scan takes longer and is more time consuming than a CT Scan.

In emergency situations when doctors need to act fast the CT Scan is much better but sometimes the PET Scan is needed to show any possible additional problems.

A CT scan shows detailed pictures of the organs and tissues inside your body.

A PET scan can find abnormal activity and it can be more sensitive than other imaging tests.

It may also show changes to your body sooner.

Doctors use PET-CT scans to provide more information about the cancer.

The cost of a PET Scan ranges from $3,000.00 to $12,000.00 depending on what is being scanned during the PET Scan.

For example the costs of a PET Scan depending on the body parts being scanned through the PET scan is listed below.

Whole Body PET Scan $3,000.00 - $12,000.00

Heart PET Scan    $2,800.00 - $24,200.00

Brain PET Scan    $2,200.00 - $10,700.00

Skull to Mid-thigh PET Scan $3,200.00 - $12,000.00

PET scans take between 2-4 hours to complete, and are significantly more expensive than CT scans.

The radiation exposure of a PET scan is about the same as an x-ray.

A PET-CT scan can cost $5,000.00 or more, according to one U.S. medical center.

That does not include the cost of added tests and procedures due to false alarms.

Some insurance plans do not pay for routine (surveillance) PET scans in a healthy patient who has completed cancer treatment.

CT scans pass x-rays through the body to create images.

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