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Is a power wheelchair or scooter supplier supposed to waive my coinsurance or Part B deductible?

April 26, 2017coinsurance deductible power scooter Supplier waive wheelchair

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Is a power wheelchair or scooter supplier supposed to waive my coinsurance or Part B deductible?

3 Answers

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The Medicare Part B deductible is the amount you must pay for health care before Medicare begins to pay. The coinsurance is the percent of the Medicare-approved amount that you have to pay after you pay the Part B deductible. In the Original Medicare Plan, the Medicare Part B coinsurance is generally 20 percent of the Medicare-approved amount for the item. Medicare law requires a supplier of durable medical equipment, such as power wheelchairs and scooters, to bill Medicare for the supplier?s actual charge. Medicare pays 80 percent of the lesser of the supplier?s actual charge or the fee schedule amount, and you pay the remaining 20 percent. It is unlawful for a supplier to routinely waive the Medicare Part B coinsurance and deductible, because that results in Medicare paying 100 percent of the supplier’s actual charge. However, a supplier may waive your coinsurance and/or deductible if you have a financial hardship and can?t pay your Medicare Part B deductible or coinsurance. If this

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Posted

The Medicare Part B deductible is the amount you must pay for health care before Medicare begins to pay. The coinsurance is the percent of the Medicare-approved amount that you have to pay after you pay the Part B deductible. In the Original Medicare Plan, the Medicare Part B coinsurance is generally 20 percent of the Medicare-approved amount for the item. Medicare law requires a supplier of durable medical equipment, such as power wheelchairs and scooters, to bill Medicare for the supplier’s actual charge. Medicare pays 80 percent of the lesser of the supplier’s actual charge or the fee schedule amount, and you pay the remaining 20 percent. It is unlawful for a supplier to routinely waive the Medicare Part B coinsurance and deductible, because that results in Medicare paying 100 percent of the supplier’s actual charge. However, a supplier may waive your coinsurance and/or deductible if you have a financial hardship and can’t pay your Medicare Part B deductible or coinsurance. If this

0

Posted

The Medicare Part B deductible is the amount you must pay for health care before Medicare begins to pay. The coinsurance is the percent of the Medicare-approved amount that you have to pay after you pay the Part B deductible. In the Original Medicare Plan, the Medicare Part B coinsurance is generally 20 percent of the Medicare-approved amount for the item.