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Please explain how the Medicare Part B deductible is applied?

September 20, 2009 by admin

AnswerId: 
22
QuestionLong: 
Please explain how the Medicare Part B deductible is applied?

The Part B deductible is applied based on the date the claim is processed by Medicare, not the actual date you got the service. However, certain services won't be applied toward your deductible. The Medicare Part B deductible is $135 per calendar year. A provider may ask you to pay a portion of your deductible at the time you get the service, or bill you after getting the notice from Medicare concerning the amount Medicare approves for the service(s). However, a provider can't ask you to pay more than the amount Medicare approves for the service(s) you received that day. In addition, the provider should show the amount you already paid on the claim he or she submits to Medicare.

DateCreated: 
2001-06-26
DateUpdated: 
2009-06-11
FAQ_Category: 
Payment and Billing
RelatedAnsIds: 
28,5,1731,117,1786

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