One thing we are confused on if the Dr. charges $200 for a visit & Medicare pays $100 if she would be responsible for the difference along with the $20 co-pay.
It is my understanding that a doctor can not bill more than 20% of Medicare
allowance. It's a law.
So if a Doctor charges $200.00 and Medicare allows $100.00 you would be responsible for $20.00. Because the doctor, by law, cannot bill more than
20%. A co-pay is a co-pay paid at time of service. In NY anyhow.
Hence the additional insurance Medicare recipients take out to cover
the additional 20%. |