Ask Experts Questions for FREE Help !
Ask
    pastor1189's Avatar
    pastor1189 Posts: 1,538, Reputation: 3
    Ultra Member
     
    #1

    Jun 2, 2017, 03:14 PM
    Medicare HMO Humana
    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's Avatar
    ma0641 Posts: 15,681, Reputation: 1012
    Uber Member
     
    #2

    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's Avatar
    ScottGem Posts: 64,970, Reputation: 6056
    Computer Expert and Renaissance Man
     
    #3

    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's Avatar
    pastor1189 Posts: 1,538, Reputation: 3
    Ultra Member
     
    #4

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

Not your question? Ask your question View similar questions

 

Question Tools Search this Question
Search this Question:

Advanced Search

Add your answer here.


Check out some similar questions!

Medicare [ 4 Answers ]

Already know about widow's benefits from Social Security. The wife with no record of her own can collect off her husband's record whether he is .living or dead. But what about Medicare if she is 65, can she get it, if she pays the premium?

Humana Advantage Plans [ 6 Answers ]

Human Gold Plus Plan. To see a specialist in the network is a referral needed? They state(Certain Benefits) no elaboration Cardiologist for example, would need a referral from my primary? Does anybody know?

Can someone who has medicare taxes paid in full obtain medicare part A ONLY ? [ 0 Answers ]

Can someone who has paid their medicare taxes in full obtain medicare part A only and does not want part B? Not elegible for Social Security benefits.

If I have Medicare A and B, do I automatically have Medicare D? [ 2 Answers ]

If I have Medicare A and B, do I automatically have Medicare Part D?

F-1 OPT, SSN and Medicare [ 1 Answers ]

Hello, This forum is very informative. Thanks for the input of Atlanta Tax Expert! I arrived in US in 1999 and I am on F-1 OPT since Sept 2005. I've heard that people on F-1 OPT are exempted from SSN and Medicare taxes. However, my employer said that since I've stayed in US for more than 5...


View more questions Search