Quote:
Originally Posted by HJBeck
I always thought that if an office visit cost $100 and Medicare says the office visit is only worth $50, Medicare will pay 80% of the $50 or $40. Your supplemental plan only pays the balance of what Medicare didn’t pay on the $50 that Medicare said the office visit was worth or $10. The medical provider has to eat the unpaid portion of the original office visit cost.
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You are correct.
However, one rare exception is if the provider has totally opted out of Medicare. In that case, the provider can charge whatever they want.