or  20% of the cost 
•Medical supplies:  $0 copay 
•Prosthetics (artificial limbs or braces):  20% of the cost 
•Diabetic monitoring supplies:  $0 copay or  20% of the cost 
Rehabilitation services 
Cost share may vary depending 
on the service and where service 
is provided. •Occupational and speech therapy:  $15 to  $30 copay 
•Cardiac rehabilitation:  $25 copay 
•Pulmonary rehabilitation:  $25 copay 
Telehealth services 
(in addition to Original 
Medicare) •Primary care provider (PCP):  $0 copay