A. The Medicare program typically requires MedArbor to accept whatever amount Medicare pays (known as the Medicare allowable fee) as payment in full. If you are a Medicare beneficiary, you may be responsible for a 20% coinsurance payment as indicated by the Medicare Professional fee schedule.
The majority of patients have either supplemental insurance (also known as “Medi-Gap”coverage) or other secondary insurance, which will likely cover the entire coinsurance amount. If this is true in your case, you will not be responsible for any payment. A Medicare part B deductible also may apply, in which case you will have to pay the deductible amount.