This is how Medicare Works now:
See if You can Follow Along with This Scenario
Hypothetically, Patient A makes three office visits this year at $50 per visit. Medicare will only pay for $40 per office visit. If Dr. B accepts the assignment, he/she will bill Patient A $80 for the first two office visits. On the third office visit, Dr. B will bill the Medicare carrier for $40. The Medicare carrier will then send Dr. B a check for $16 (80% of $20 [$20 being the amount over the $100 annual deductible]) and Patient A will be liable for the remainder. If Dr. B does not accept the assignment, Medicare's allowable charges will be 5% less than for participating physicians. In this case, Medicare would only allow for $38 (95% of $40) per office visit. Moreover, Dr. B cannot bill Patient A more than $43.70 (115% of $38) for the office visit even though his/her usual charge is $50. Thus, for the first two office visits, Patient A would pay Dr. B directly. On the third office visit, after recognized annual charges now at $114 ($38 x 3), Patient A would receive a check for $11.20 (80% of $14) from Medicare and would be personally liable for the remainder (total bill up to $131.10 [$43.70 x 3]). Any subsequent physician services used by Patient A during that year would be charged at a rate of 115% above the allowable Medicare service-related charge, with Medicare paying 80% of the charge.
Okay Doctors... under the New and Improved Obamacare you'll need a few more Office Staffers to keep track of all this... and as a bonus we are going to cut your pay as a way of thanking you for participating.
Yeah Doctors are going to do that!
Doctors are simply going to walk away from Medicare in Droves. There isn't any money in it now... and it's going to get much much worse. Government run insurance is a logistics nightmare. It's no wonder there is $54 Billion in fraud. Who can keep track of all this and still try and run a practice where they actually see patients?
by Susan Reid 4 years ago
If you are insured through your employer, the answer is no. If you are an individual or small business owner, please share your thoughts.Did you know there will be online health care insurance marketplaces (exchanges) in every state?Is your state running its own exchange ... ...or is it...
by SparklingJewel 8 years ago
I truly want to know if these are valid reasons...or are they perspective on what "could" happen, or just totally absurd possibilities. If you have proof to validate or deny these reasonings, I genuinely would like to hear them?Here are just some of them, from a conservatives view: ...
by Grace Marguerite Williams 4 years ago
What are the 6 ways Obama"care" is a total waste of time, energy, and money where there arehospitals and/or other medical facilities that offer very low cost and/or free health care?The "purpose" that President Obama "intended" for his to be implemented...
by Eric Seidel 16 months ago
Can anyone explain the Affordable Care Act to me?I was honestly going to make a Hub about this, asking this very question, and I had written 800 something words on the subject. Ok actually it's more like a mild rant, but I think this would be better as a Hubpages question rather than a Hub that no...
by TimTurner 8 years ago
Ok so I'm watching CNN this morning and they have 3 Democrats talking about the healthcare plan and how it's going to be great for Americans.They talked about ways they were going to pay for the plan and two of the ways contradict everything about the plan.They want to raise taxes by 40% for...
by Stacie L 6 years ago
Obamacare will save Medicare $200 billion by 2016by Joan McCarterFollow The Centers for Medicare & Medicaid Services actuary reports: "We have achieved significant tangible savings that have been passed on to beneficiaries," said Jonathan Blum, director of the Center for...
Copyright © 2018 HubPages Inc. and respective owners. Other product and company names shown may be trademarks of their respective owners. HubPages® is a registered Service Mark of HubPages, Inc. HubPages and Hubbers (authors) may earn revenue on this page based on affiliate relationships and advertisements with partners including Amazon, Google, and others.
|HubPages Device ID||This is used to identify particular browsers or devices when the access the service, and is used for security reasons.|
|Login||This is necessary to sign in to the HubPages Service.|
|HubPages Traffic Pixel||This is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.|
|Remarketing Pixels||We may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.|
|Conversion Tracking Pixels||We may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.|