Thanks so much for the responses to my last question! We are happy (I think?) with our choices. We took traditional medicare with a G plan from Mutual of Omaha. We had our first claim and after some difficulty making the people at Medicare understand that we no longer have primary insurance at my husband's work, they are paying.
Another quick question... (remember there are NO silly questions!) How do we pay the 198.00 deductible? Is it taken from our SS checks as our Medicare payment is, or will individual practitioners bill us? This is our first claim and we are trying to learn to navigate this crazy system!
Thank you in advance! (I'm sure you will laugh because I'm sure the answer is so obvious to you who have been there but I have "googled" and I'm at a loss)!
Your doctor will send the bill to Medicare. Medicare will pay all but the deductible to your provider. Your provider will then bill you for the deductible. If the doctor asks you to pay the deductible at the time of service, tell them to bill Medicare.
They agree to charge you only the Medicare Deductible and Coinsurance amount and usually waitfor Medicare to pay its share before asking you to pay your share.
They have to submit your Claim directly to Medicare and can't charge you for submitting the claim.If your doctor, provider, or supplier doesn't accept assignment
If your doctor, provider, or supplier doesn't accept assignment
Non-participating providers haven't signed an agreement to accept assignment for all Medicare-covered services, but they can still choose to accept assignment for individual services. These providers are called "non-participating."
Here's what happens if your doctor, provider, or supplier doesn't accept assignment:
You might have to pay the entire charge at the time of service. Your doctor, provider, or supplier is supposed to submit a claim to Medicare for any Medicare-covered services they provide to you.
They can't charge you for submitting a claim. If they don't submit the Medicare claim once you ask them to, call 1‑800‑MEDICARE.
I have never seen a bill for the Part B deductible from Medicare -
What they do is deduct the amount of the deductible from what is paid to or suppose to be paid to the doctor. Then if there is no added supplemental (Medigap) coverage that covers it, the doctor's office will then bill the patient for the amount of the deductible still outstanding - all or part.