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Re: [IP] Re: Medicare and pump rental



Thank you. 

Sent from my iPhone
Phyllis 

> On Dec 19, 2013, at 5:49 PM, Pam Brown <email @ redacted> wrote:
> 
> Yes, you are correct, Phyllis. Simple example: doctor charges $200, Medicare
 > approves $100 as the allowed amount. Medicare pays $80, you pay $20
coinsurance,
 > assuming you don't have a supplement. Before you pay the 20% coinsurance
however
> you have to meet the $147 annual deductible. The above is for most Part B
 > covered expenses that are approved by Medicare. Some things like labs and
home
> health care don't have the 20% coinsurance. That's also if the doctor accepts
> assignment. If they don't, they're allowed to bill you an extra 15% above the
 > Medicare approved amount, so in this example another $15, meaning you would
pay
> $35 total. Some Medigap supplement plans cover these "excess" charges (e.g.,
 > Medigap Plan F), others don't. All of the above pertains to Original
Medicare.
> If you've assigned your Medicare benefits over to a Medicare Advantage plan,
 > then it's a whole different ballgame. Each MA plan can have it's own rules
about
> deductibles and copays. Pam
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.
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