Health insurance question? (relates to medicare)?

Question

With Medicare there is a 1300.00 deductable and they pay 80/20%. Does that mean after you reach the 1300.00 then they pay 100%?

Answer 1

The deductible with medicare varies with the type of service. There is an out-patient deductible of $135 and then you may pay a co-insurance amount depending on the service recieved. Some are paid at 100% if medicare approved.

The in-patient co-insurance is $1,024 deductible (which covers the first 60 days in a benefit period).

I'm not sure where you are seeing the $1,300 deductible?

Look at this link and see pages 111-112 for more info.

http://www.medicare.gov/Publications/Pub...

Answer 2

The deductible is what you pay before the insurance company starts paying 80%.

So you pay $1,300 then you pay 20%

Answer 3

There are very few procedures that Medicare pays 100%. These procedures include home health care, hospice, some lab work and some immunizations.

Medicare Part A is hospitalization. There is a $1024 per occurance deductible. This means if you go into the hospital 5 times this year you could have, depending on timing, up to 5 deductibles to meet.

Medicare Part B is doctor and outpatient. There is a $135 annual deductible then you pay 20%. There is no maximum amount to the 20%. In extreme cases your 20% could be tens of thousands of dollars.

The deductible and the 20% that you pay is the reason people get a Medicare Supplement or a Medicare Advantage plan.