Watercolorist Posted June 25, 2015 Report Share Posted June 25, 2015 Hello, I can't get a straight answer so far, even from my doctor's office...so does anyone know how much I have to pay for the Medicare initial examination? I have Medicare part a & b. Thanks Link to comment Share on other sites More sharing options...
JRP Posted June 25, 2015 Report Share Posted June 25, 2015 Well, like anything controlled by the Gov, there is no straight answer. The answer is, it depends on what your doc charges and whether he accepts what Medicare pays. If you don't have a Medicare Supplement Policy (MediGap), then you may pay any difference between what Medicare approves as reasonable rates for the various services involved vs what your Doc bills for those services. Also if your Doc does not comply with the very specific requirements Medicare sets for this process, they may deny portions of his billing, leaving you responsible for those amounts. (or negotiating with your doc for discounts)Medicare is concerned with the paper work, if the doc doesn't document that he discussed topics A,B,C,D & E with you during this visit, Medicare will deem it incomplete and only pay a reduced amount.Looking back at mine a few yrs ago, for the Doc visit & consultation, the EKG and all the Lab tests (all done at the same office - same visit), the total billed was $900. Medicare paid $350 and my Supplement Plan F paid all the rest, leaving me with $0 out of pocket. your experience may vary Hello,I can't get a straight answer so far, even from my doctor's office...so does anyone know how much I have to pay for the Medicare initial examination? I have Medicare part a & b.Thanks Jim Link to comment Share on other sites More sharing options...
airstream harry Posted June 25, 2015 Report Share Posted June 25, 2015 Nothing. It's free c u on the road airstream harry 2000 Land Yacht MH 2007 Saturn Ion Link to comment Share on other sites More sharing options...
Fulltimer51 Posted June 25, 2015 Report Share Posted June 25, 2015 http://medicare.gov/coverage/preventive-visit-and-yearly-wellness-exams.html Hope this helps. George2011 F350 6.7PSD CC 4X4 DRW Lariate2015 Mobile Suites 41 RSSB4 5th Wheel Link to comment Share on other sites More sharing options...
Kirk W Posted June 26, 2015 Report Share Posted June 26, 2015 Your costs in Original MedicareYou pay nothing for the “Welcome to Medicare” preventive visit or the yearly “Wellness” visit if your doctor or other qualified health care provider accepts assignment. The Part B deductible doesn’t apply. However, if your doctor or other health care provider performs additional tests or services during the same visit that aren’t covered under these preventive benefits, you may have to pay coinsurance, and the Part B deductible may apply. Good travelin !...............KirkFull-time 11+ years...... Now seasonal travelers.Kirk & Pam's Great RV Adventure Link to comment Share on other sites More sharing options...
LindaH Posted June 26, 2015 Report Share Posted June 26, 2015 We have a Medicare Advantage Plan (we're not fulltimers), and we don't pay anything for our annual wellness exams. LindaH 2014 Winnebago Aspect 27K 2011 Kia Soul Link to comment Share on other sites More sharing options...
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