Now that we’re at the start of a new year, learn more about your Medicare coverage. What is the Medicare deductible 2018, and what can you expect with your healthcare payments?
At the beginning of every calendar year, your Medicare deductible “resets” and you must pay your healthcare costs up to the deductible amount before Medicare kicks in. The Medicare Part B deductible in 2018 is $183.
While it can be frustrating to receive those first bills each year from providers and have to pay out-of-pocket against that Medicare deductible 2018, it is not only the patient’s responsibility to do so but also the nature of health insurance plans.
“Sometimes patients with Medicare will feel caught off guard - getting a bill they have to pay from a doctor they saw all of last year ‘for free.’ But that’s not the case and certainly not a fault of the doctor,” said Jason Wilson, RN, BSN, Vice President of Nursing and Clinical Affairs at CareSync. “That doctor just happened to be one of the first to bill them in the year, and had to by virtue of the physician and the patient being Medicare participants.”
In meeting the Medicare deductible 2018, how much you pay and to which specific healthcare provider will be based on who you saw first and who billed you first in the year, as well as how much the charge was.
As an example: In 2018, if you were to have an appointment in January with Dr. Joe, who billed you right away for a Medicare-approved service that cost $183, you will receive a bill from Dr. Joe for $183 and be responsible for paying it. You will have met your Medicare deductible for 2018 with that one bill.
But if you saw Dr. Joe in January and Dr. Sue in February, and each charged you $91.50, you would pay both those doctors those amounts, meeting your Medicare deductible 2018 after two bills.
After your Medicare deductible is met, you may still have to pay copayments and coinsurance depending on the plans you have chosen. With Medicare Part B, you will typically pay 20 percent of the Medicare-approved amount for most doctor services, outpatient therapy, and durable medical equipment.
If you have a paying secondary or supplemental health insurance plan, it may pay the other 20 percent so you have no out-of-pocket medical expenses for certain services or treatments. If you are dually eligible for Medicaid as well, it may cover the 20 percent of healthcare expenses that Medicare does not pay for. Check with your healthcare provider for more information.
To learn more about Medicare, including your Medicare deductible and other details for 2018, please follow our blog.
If you’re interested in getting more information about care coordination for Medicare patients and resources for families and caregivers, visit our site to learn about how CareSync can help.