04-05-2018, 08:47 PM
Two bills for annual eye exam.
Me on Medicare: Summary- Total billed $721.52. Patient savings (due to insurance adjustments) $411.37, Insurance claims payment $87.45. Medicare says total I may be billed is $104.53. Medicare paid $262.26. This was a 45 minute appt. I only went in for a new eyeglass Rx.
My partner not on Medicare: Total billed $887.78. Patient savings $503.62 (due to insurance limits). Applied to deductable $284.18, Co-insurance $20, Insurance paid $79.98. "It is your responsibility to pay" $304.18. It is not your responsibility to pay $503.62.
So bottom line with no insurance this little 45 minute visit for my partner would have been $887.78, for me $721.52. We got there at 8AM and left at 9AM.
Me on Medicare: Summary- Total billed $721.52. Patient savings (due to insurance adjustments) $411.37, Insurance claims payment $87.45. Medicare says total I may be billed is $104.53. Medicare paid $262.26. This was a 45 minute appt. I only went in for a new eyeglass Rx.
My partner not on Medicare: Total billed $887.78. Patient savings $503.62 (due to insurance limits). Applied to deductable $284.18, Co-insurance $20, Insurance paid $79.98. "It is your responsibility to pay" $304.18. It is not your responsibility to pay $503.62.
So bottom line with no insurance this little 45 minute visit for my partner would have been $887.78, for me $721.52. We got there at 8AM and left at 9AM.