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Article
September 27, 1958

"FREE CHOICE" AND OTHER LIMITATIONS UNDER MEDICARE

JAMA. 1958;168(4):414. doi:10.1001/jama.1958.03000040050011

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Abstract

EFFECTIVE midnight Tuesday, September 30, many dependents of military personnel will no longer be eligible to receive certain categories of medical and hospital care from civilian physicians and hospitals at government expense. Physicians should take note of these changes so that they will know beforehand which treatments will be eligible for payment under the Medicare system and which must be paid for by the individual patient.

On and after October 1, 1958, the government will no longer pay for the following items when provided outside military facilities: (1) treatment of fractures, dislocations, lacerations, and other wounds on an outpatient basis; (2) termination visit; (3) outpatient presurgical and postsurgical tests and procedures; (4) neonatal visits; (5) treatment of acute emotional disorders unless the patient (spouse or child) is confined to a hospital for a condition otherwise eligible for payment; (6) elective surgery.

In addition to eliminating these six categories of civilian

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