Quote:
Originally Posted by retiredguy123
You don't send a bill to Medicare, and Medicare doesn't reimburse you. The provider bills Medicare and the provider is paid directly from Medicare. If you don't have a Medicare supplement, then you are responsible for a 20 percent coinsurance payment.
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Close, but no cigar...
Yes, Medicare has to file the paperwork for you, but the Drs DO NOT have to accept assignment (aka payment) from Medicare. They can require you pay them and then you'll get paid by Medicare. There is a limit as to what they can charge you. I believe it's 110-115% of the Medicare allowable...
If you have your Medigap set up properly, Medicare will automatically forward the claim to your secondary insurance for co-insurance payment...