62.2k views
5 votes
What are the four charges Medicare Part B recipients are responsible for?

User Droidd
by
7.5k points

1 Answer

1 vote

Final answer:

Medicare Part B recipients are responsible for a monthly premium, an annual deductible, coinsurance or copayments, and possible excess charges if a provider does not accept Medicare assignment. These cost-sharing measures aim to reduce moral hazard by making beneficiaries partly financially responsible for their healthcare.

Step-by-step explanation:

The four charges that Medicare Part B recipients are responsible for can be categorized as follows: a monthly premium, an annual deductible, coinsurance or copayments for covered services, and charges above the amount approved by Medicare.

  1. Monthly Premium: This is the regular fee that enrollees must pay for Medicare Part B coverage, regardless of the amount of medical services they utilize.
  2. Annual Deductible: Before Medicare starts to pay for covered services, beneficiaries must pay an out-of-pocket amount annually.
  3. Coinsurance/Copayments: These are the shares of the costs for medical services that beneficiaries must pay after the deductible has been met. Typically, this is a certain percentage of the service cost or a flat fee.
  4. Excess Charges: If a medical provider does not accept Medicare assignment, the cost above the Medicare-approved amount for a service may be charged to the beneficiary.

All these charges are part of the cost-sharing features designed to discourage moral hazard and help control medical expenditure by ensuring that beneficiaries have a financial stake in their healthcare.

User Renold
by
8.1k points