1. What is a deductible? What is a co-payment?
A deductible is the initial amount of “covered’ health costs that you pay before your insurance plan begins reimbursement. A deductible is usually a set dollar amount such as $250 or $500.
A co-payment is the portion of your health care expenses not covered by your insurance. A co-payment is usually a percentage figure, like 20%.
Example: On a $500 bill, your deductible might be $150, so you would have to pay the first $150 if you had not already met your deductible for the year. This leaves a balance of $350. Of that $350, your co-payment might be 20%, meaning that you will have to pay an additional $70 (20% of the $350). Your insurance contract would cover the remaining $280.
2. Who is responsible for paying my bill?
The hospital will submit your claim to your insurance company unless you specify otherwise. However, you are ultimately responsible for making certain that your bill is paid.
3. What other bill(s) will I receive?
You may receive a bill from the hospital and from a physician who provided services to you. This may include the radiologist that reads your x-ray, the surgeon or other providers who treated you in the hospital. You may also receive a bill from Lakeland or Quest diagnostics if a specimen was sent out for interpretation.
4. How can I get a replacement Medicare card?
If you lose your card, you can obtain a replacement card by phone at 1-800-772-1213, or online at the Social Security Administration web site. Make sure you have your Medicare number ready when you call.
5. How can I find out if I have Medicare coverage?
You must call the Social Security Administration at 1-800-772-1213 or contact your local Social Security Office to verify your Medicare Part A and Part B coverage.