Medicare Supplement Insurance. At such time as the retiree becomes age 65, the DISTRICT provided medical insurance shall be through the applicable Medicare Supplemental Insurance integrated with Medicare Part B. The retiree will continue to be responsible for a co-payment percentage of the Medicare Supplemental Insurance premium based upon Article 32.01 (D). In order for the Medicare Supplemental Insurance to provide coverage, the retiree must enroll in Medicare Part B at the time of eligibility.
Medicare Supplement Insurance. The Employer shall provide Medicare Supplement Insurance, in accordance with Schedule “B”.
Medicare Supplement Insurance. If, while insured, you or your dependents incur any of the eligible expenses for services or supplies which are medially necessary and customarily provided in the treatment of an illness, the health plan provider will pay a benefit, subject to limitations and exclusions. After the application of the deductible, if any, for each benefit year, the amount payable is determined by using the insured percentages shown for the types of expenses. A benefit is not payable for an eligible expense used to satisfy the deductible, nor if the maximum benefit has been paid. The benefit year, the deductible, the insured percentages and the maximum benefit can be determined from the benefit details. Benefit Year – October 1 to September 30 Deductible - Nil Maximum Benefit - Unlimited This benefit ends on the last day of the month in which you either retire or attain age 65, whichever is earlier.
Medicare Supplement Insurance. We are a participating provider with the Medicare Part B program; and as such we are obligated to write off the difference between what Medicare pays us for the services rendered to you (the “allowed amount”) and our usual and customary charge. Medicare pays 80% of the “allowed amount” to us directly. The remaining 20% and your annual deductible of $183 are the patient’s responsibility by federal law. Non-Covered Patients are required to make payment for any balance not covered by the insurance plan. If you are unsure whether a service is covered by your plan, ultimately it is your responsibility to contact your insurance company to review your benefits. No-Show A $200.00 new patient / $100.00 established patient no show fee may be applied to the patient’s account when the patient has not given our office adequate notice (more than 24 hours) of an office appointment cancellation. Two no show appointments will result in a letter to the patient and primary care physician. Three no show appointments will result in termination of care. If a patient who has not established with the practice misses their first appointment on two separate occasions, they will not be scheduled for any further appointments. Refunds Patients will be refunded any overpayment once all claims on the account have been processed and the patient has been discharged from care. The refund is made back to the credit card of the original payment. For all other forms of payment, the accounts payable department will issue a refund check in a timely manner. Self Pay All patients without insurance will be required to pay a deposit at check in ($500.00 for non-fracture care and $750.00 for patients with a fracture). Any remaining balance for the visit will be collected at check out. Self-pay patients paying their bill in entirety at check out are entitled to a 33.3% discount. This discount does not apply to patients with insurance. Refunds will be paid as per our refund policy (See Refunds above).
Medicare Supplement Insurance. The specific functionality of this Data File shall include the following:
