Re: [QUAD-L] Dave - Medicare & You 2005

[David K. Kelmer]

Hi Lori,

 

You're right.  Medicare pays 100% of the APPROVED AMOUNT.  The home health agency can, and in my case does, bill Medicare more than the APPROVED AMOUNT.  They will only receive 80% of the BILLED AMOUNT -- which is 100% of the Medicare APPROVED AMOUNT.  I am not responsible for the difference.

 

With Love,

CtrlAltDel aka Dave
C4/5 Complete - 29 Years Post
Texas, USA 

  

Lori Michaelson <[EMAIL PROTECTED]> wrote:

Dave K. wrote:   "Actually the ''they'' is MEDICARE.  My HHA submits a bill to MEDICARE for the visit ($100) and supplies (depends on what I've received) and the MEDICARE pays their APPROVED AMOUNT (75% I believe)."   Unlike Dr visits, lab tests, etc (which Medicare pays only 80% of the costs) Medicare pays for ALL my home health care (nurses, aides, supplies) and pays 100%.  100% in full.  And I've been receiving this care since 1997 - 8 yrs.   Thank God they pay 100% because I can't afford a Medigap supplemental insurance policy.  I had one for years but they kept upping the premiums to the point I could not afford the payments.   Lori  :-)