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pastor1189
Jun 2, 2017, 03:14 PM
How does that work? Neighbor had Medicare Humana HMO.
She paid her co-payments. What the dentist ask for and what he got.
Was discounted greatly less by Humana. I saw this procedure before. But my doctor never said anything to me about the shortfall
Do you think the dentist will try to get his remaining balance from the patient?

ma0641
Jun 3, 2017, 05:56 AM
No, you pay the copay. Humana has a pay scale and the dentist agreed. This is a Medicare Advantage Plan?

ScottGem
Jun 3, 2017, 06:31 AM
The way most network plans (like HMOs and Medicare) work is that the member providers agree to a pay scale set by the network. They do this because patients are then steered to member providers. So that's why you see the amount the providers charges non member patients and the amount the plan pays. The provider then sort of eats the difference. In reality the provider costs are usually way inflated and they don't really expect to receive that amount.

pastor1189
Jun 3, 2017, 07:07 AM
Yes that what I suspected