A Medicare patient receives services valued at $780 according to a provider's usual fee, but the MPFS allowed charge is only $700. Assuming the deductible has been met, what is the required patient payment?

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Quizplus · Accepted Answer

Under Medicare Part B, after the deductible is met, the patient is typically responsible for 20% of the Medicare-approved amount. In this case, 20% of $700 (the Medicare-approved amount) is $140. The difference between the provider's usual fee and the Medicare-approved amount is not the patient's responsibility.

A Medicare Patient Receives Services Valued at $780 According to a Provider's