The Deductible is always subtracted from the Medicare allowed

Allowed charge minus deductible = $$$$

$$$$ x 80% = Medicare payment

$$$$ x 20% + deductible (if owed) = Patients payment

Drs courtesy adjustment is Drs bill minus (-) Medicare allowed

3 Mrs. Johnson has Medicare; she visited the doctor during the year and was sent the bill for the services rendered. Medicare allows $4,875.00 for her visit and she is responsible for her $450.00 deductible that was not met. The doctor has agreed to accept assignment; his bill was for $5,000.00

Calculate the following:

A How much the Medicare pay? ________________________________

B How much did Mrs. Smith pay? _______________________________ C How much is the Dr.s courtesy adjustment. _______________________

4 NIKKI M went to the doctor and was sent the bill for the services. Medicare allowed $2,320.00 for the surgery. She has already paid $70.00 of her $200.00 deductible.

The doctor billed for $3,750.00 for his services.

Calculate the following:

A How much the Medicare pay? ___________________________

B How much the Oprah pay? _____________________________ C Doctors courtesy adjustment. _____________________________

5 Mrs. Alice France has Medicare; she visited the doctor and was sent the bill for the services. Medicare allowed $4,550.00 for the surgery. She had met her deductible on her previous visit. The doctors bill was $6,000.00.

Calculate the following:

A How much the Medicare pay? ___________________________

B How much the Patient pay? _____________________________ C Doctors courtesy adjustment ___________________________

6 Mrs. Mary Jones has Medicare; she visited the doctor and was sent the bill for the services. Medicare allowed $7,355.00 for the surgery. She had met her deductible on her previous visit. The doctors bill was $8,000.00.

Calculate the following:

A How much the Medicare pay? ___________________________

B How much the Patient pay? _____________________________ C Doctors courtesy adjustment ___________________________