Talk of The Villages Florida - View Single Post - Medicare to allow balance billing
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Old 05-06-2017, 10:12 AM
Tbear Tbear is offline
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Default Some actual numbers...

I am the author of " The Diary of a Partial Knee Replacement " on this forum and I continue to update it weekly for those that might have to go through a similar procedure as I did.

My next post was going to be on the cost of my partial knee replacement. Prior to my surgery, I had no luck trying to find out how much I might have to pay or how much a typical procedure like this is actually allowed by Medicare. All I knew was that I had insurance and it would be covered with a maximum out of pocket for me of $1900.

I currently have the United Healthcare Medicare Advantage insurance plan.

Although there were lots of smaller charges, the hospital bill in round numbers was $84,000. My hospital stay was technically one day with an overnight stay ( as required by Medicare ). The hospital was paid by the insurance company $8,500 as a total settlement.

I paid a $150 hospital stay co-pay.

The doctor bill was $2,800. Insurance settled that bill for $1,200.

The only other costs I've had to pay were the minimal copays for the pain meds I had to get as well as $15 copays each time I visit the physical therapist.

Needless to say that if I did not have insurance, I never would have had the operation...

Tbear