Medicare will pay 80% and the patient will pay the 20% co-pay. If a doctor doesn't accept the assignment, the patient is responsible for the co-payment plus one. What you pay for Medicare will vary depending on the coverage and services you receive and the providers you go to. Medicare covers 80% of approved expenses, once you reach the annual deductible.
Once the deductible is paid, Medicare pays most (usually 80%) of the approved cost of care for Part B services, while you pay the remaining cost (usually 20%) for services such as doctor visits, outpatient therapy, and durable medical equipment. Medicare has strict rules about what durable medical equipment, prostheses, braces, and supplies (DMEPOS) are covered. Medicare pays 80 percent of approved charges, and you pay about 20 percent. Part B is optional because you have to pay a monthly premium and reach a deductible before Medicare pays for benefits.
You've worked hard for years, and part of every paycheck has gone toward your Medicare coverage. This is for your Original Medicare benefits and is for anyone over 65 and for people with certain disabilities or end-stage kidney diseases. However, the amount you've paid over the years doesn't cover all of your Medicare costs. You will continue to have expenses, including deductibles, coinsurance and copayments.
A Mutual of Omaha (or Medigap) Medicare supplement plan is an option to cover certain Medicare-approved costs that Original Medicare doesn't cover. To be eligible for a Medicare supplement plan, you must be enrolled in Original Medicare. This type of plan covers Medicare-approved costs that Original Medicare doesn't cover, such as copays, deductibles, and coinsurance for 20 percent of what you are responsible under Original Medicare.
