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Medicare reimbursement

Posted: Sat Apr 29, 2017 12:28 pm
by GiRn56
For those curious I just received my Medicare claim payment info. Dr. Eid billed $14,800 and Medicare reimbursed / paid him only $ 1,384. Just crazy....
Anesthesia billed and received $351.00

I will post hospital costs when I recieve my claim completion.

Re: Medicare reimbursement

Posted: Sat Apr 29, 2017 12:42 pm
by oldgoat
Similar to what Medicare paid for me.
Medicare has set payment amounts for each procedure.
My secondary insurance paid even less.
Luck for me my doctor and hospital had agreed to take Medicare assignment amounts.
They are way underpaid in my opinion.

Same situation when I had my laproscopic radical prostatectomy.

Re: Medicare reimbursement

Posted: Sat Apr 29, 2017 12:56 pm
by GiRn56
I have Tricare Retired as secondary as well, so should be completely paid. The office non secondary stated there would be about 3k left over that one would have to pay...

Re: Medicare reimbursement

Posted: Sat Apr 29, 2017 1:17 pm
by ThePlumber1964
They get a chunk of the others fees, for sure.