A provider returned the Medicare deductible I paid to them

[fh2000]

I am on Medicare with supplemental. For year 2022, I paid deductible amounts to the first 2 providers which totaled $233 so I satisfied my deductible.

Few days ago, the second provider (a surgical center) sent me a check for the deductible amount I had paid them. So, did them get the full amount reimbursed by Medicare/supplemental and just returning the excess charge to me? So I will get a bill from another provider soon for that same amount?

 

[Sarah S]

If you don’t have paper explanation of benefits do you have an online medicare account at medicare.gov? You can see who medicare thinks you owe your deductible to ( and you can definitely select to see last year’s claims

 

[fh2000]

If you don’t have paper explanation of benefits do you have an online medicare account at medicare.gov? You can see who medicare thinks you owe your deductible to ( and you can definitely select to see last year’s claims

I checked my online account. I see from My deductible status, under 2022, the deductible amount met is $233 already.

There are total 6 claims in 2022. First one lists the correct deductible amount applied. The remaining 5 (including the Surgical center) all show 'Total amount you may be billed' higher than the remaining deductible balance.

I guess one of them will send me a bill, and I will have to call them and pay only the remaining amount.

I am not sure how Medicare reconcile with these providers.

 

[Sarah S]

On the medicare site you want to scroll up when you look at each claim to see amount applied to deductible. The total you may be billed includes the 20% that your supplement picks up so that is why you see it all year long
There is a box entitled note that summarizes it and will say if part of your you may owe includes deductible