The only time I've dealt with Excess harges
A high fiber diet should help with those excess harges.
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The only time I've dealt with Excess harges
There is so much misunderstanding in the past few messages (not yours) it almost defies logic, some of you need to read about the simple basics, such as Medicare assignment, before posting anything in a public forum.
There is so much misunderstanding in the past few messages (not yours) it almost defies logic, some of you need to read about the simple basics, such as Medicare assignment, before posting anything in a public forum.
Sorry, I think I see at least one of the things you are referring to. Confusion and tunnel vision. I am going to be studying harder on this stuff after the first of the year.
I am a great one for leaping first and then looking around on the way down. One of these days there wont be a mattress at the bottom.
I think he was being facetious. I've seen an excess charge one time and it was for about $40.
If a dr doesn't accept assignment they only get paid 95% (top of my head no time to look up) of what Medicare would normally pay for a procedure. So the client would essentially pay 9.25% above their normal amount IIRC
Currently 96% of doctors accept assignment so it's typically not an issue.
I think he was being facetious. I've seen an excess charge one time and it was for about $40.
If a dr doesn't accept assignment they only get paid 95% (top of my head no time to look up) of what Medicare would normally pay for a procedure. So the client would essentially pay 9.25% above their normal amount IIRC
Currently 96% of doctors accept assignment so it's typically not an issue.
I think the comment I was given before also talked about billing, maybe that if the Dr didn't accept assignment, they had to bill the patient for the rest which then left the Dr exposed to all the normal Accts Pay risks and collection problems.
So the client would essentially pay 9.25% above their normal amount IIRC.
Provider accepts assignment:Actually the patient pays 15% of 95%. The doctor gets an additional 9.25%.
Provider accepts assignment:
Billed Charge: $109.25
Medicare approved amount: $100
Medicare assignment allowed amount: $100
Medicare payment (80% of allowed amount): $80
Patient responsibility (20% of $100 allowed amount): $20
Provider does not accept assignment:
Billed Charge: $109.25
Medicare approved amount: $100
Medicare non-assignment allowed amount: $95
Medicare payment (80% of allowed amount): $76
Patient responsibility (20% of $95 allowed amount plus 15% of $95 allowed amount): $33.25
Thousands? Sorry, but I doubt that's ever happened and would challenge anyone who said it has. Ever compare the premium difference between Plans D and G or between C and F, where the ONLY difference is the excess charge? You'll find the premium difference mostly in the $5-10 per month range. A carrier exposed to thousands in additional risk would never charge so little for that additional financial exposure. Per one carrier, the average excess charge is $8.The Part B excess charges could be $1000 and $1000 of dollars. Why expose a senior to financial ruin?