Kasz216 on 07 October 2009
| ManusJustus said: IRT, this topic is horribly ignorant, and its obvious that the aritcle and topic creator have no idea how health insurance works in America. Private insurance companies are very clear about how much they can pay, for instance the doctor knows that they will pay 80% of the operation after a deductible of $500, so thats how much you bill for. Medicare will pay for almost anything, which is why doctors bill them for everything and even scooter saleman will file a claim on a patients behalf. |
Medicare doesn't "Pay for anything".
They only pay for nessesary services... and what they pay for and don't is clearly laid out.
http://www.cms.hhs.gov/mcd/overview.asp
These claims are "after service" claims.
Which is actually what those "scooter" guys do. They look at the info you've provided and the medicare standards... and see if you qualify. The only reason they only do it for medicare is that medicare is by far the largest provider.
