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"Medicare Allowable" charges: Providers who participate with Medicare agree to accept the Medicare allowable charge as full payment. Bear in mind that because Medicare is an 80/20 plan, the patient is still responsible for the 20 percent of the allowable charges not paid by Medicare. * For example: You have chemotherapy in your physician's office and Medicare is billed $500.00 for the service. The Medicare allowable or assignment for your chemotherapy treatment is $300.00. Your physician is paid 80 percent of $300.00 or $240.00. You are responsible for only the $60.00 not paid by Medicare but considered allowable under Medicare UCR fee schedule. This is because participating Medicare providers may not bill the patient for the balance amounts above the Medicare allowable fee schedule (known as "balance billing"). It is important to verify that your provider "Accepts Medicare Assignment" or is a "Medicare Provider" to avoid unexpected and potentially large out-of-pocket expenses.

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Q: What is Medicare Allowable?
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Check this page for the answer http://www.steveshorr.com/law_relating_to_insurance.htm primary policy will be medicare&secondary will bethe patient's commercial insurance company.as medicare covers all.the remaining which is not allowable wiill be covered by secondary


Is not allowable proper English?

Yes, the term 'not allowable' is correct in English.The word 'allowable' is an adjective, a word that describes a noun: an allowable expense, an allowable activity, etc.The word 'not' is an adverb that can be used to modify the adjective allowable, for example:The gas is an allowable expense but the sandwich is not allowable.It is not allowable to make personal calls while at the front desk.


I understand when Medicare is primary and when Medicare is secondary. What is the difference in coverage between a Medicare Supplement and Medicare as a secondary insurer?

If you have a Medicare Supplement then the provider will bill Original Medicare first. At that time Medicare will pay the allowable amount and then return an explanation of benefits stating the beneficiary's portion. Based on the Medicare Supplement Plan that is in place (A-N) the Medicare Supplement will pay a portion or all of the remaining amount due. If they pay only a portion based on the plan (A-N), then according the plan guidelines, the beneficiary would pay any outstanding amount at that time. If a Medicare beneficiary is covered on a employer or retiree group plan and due to the size of the plan, the group plan is primary, then the group plan benefits will apply first and any amounts due by the Beneficiary will be billed to Medicare second. If it is a Medicare covered service, then Medicare will pay the remaining amount due as the secondary payor up to the amount allowed by Medicare. If the service is not allowed by Medicare, than the beneficiary's co-insurance or co-payment under the group plan would be their responsibility.


Where do you pay Medicare b copay?

The Medicare Part B deductible for 2009 is $135.00. After you meet the $135.00 deductible, you will pay 20% of the bill unless you have a Medicare Supplement that pays the 20% for you. Some Medicare Supplements pay the $135.00 for you. If you have a Medicare Advantage Plan (Part C) your "copay" will vary between the type of plan, the company that offers it, and whether or not the doctor is a family doctor or a specialist. If you have one of these plans, usually a PPO or HMO, you don't pay the Medicare Part B deductible of $135.00


How do you write a sentence with the word allowable in it?

Some types of answers are not allowable on Answers.com, please see the rules for what is allowable.


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Flip flops are not allowable footwear here.


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No. FICA is a straight percentage of salary or wages. The employee Social Security portion (6.2%) stops after the employye reaches the maximum salary ($102,000 in 2008). The employee Medicare portion (1.45%) does not have a miximum.


How is billing handled for a patient with dual insurance?

I will use for example someone on MEDICARE. They have paid into their medicare insurance and have both parts (thus eliminating confusion of part a, part b). First the bill is sent to the Medicare insurance provider, who will have an allowed amount and then of that what they will pay. The billing medical source credits what MEDICARE paid and then submits the balance to the 2nd or CO-INSURANCE. As a whole, if MEDICARE pays 90%, the CO-INSURANCE picks up the balance of 10%. These figures were used as an example. You will have to know your own breakdown of what percentage is paid. Remember is is on the ALLOWABLE or APPROVED amount, not the whole billing. Most insurance such as MEDICARE and personal insurance through a work place, have a provider adjustment. Then the % is taken from there. PRIVATE holders of medicare and co-insurance my not have the luxury of an adjustment of cost. And will have to cover what is left.