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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: Lane3 who wrote (6859)6/1/2009 5:32:39 PM
From: i-node  Read Replies (2) | Respond to of 42652
 
As I said, Medicare pays first. BCBS picks up the difference between what Medicare pays and what BCBS would have paid. Which means that what the doctor gets is typically more than the full amount under Medicare. It's the full amount under BCBS.

That's strange, but I can see why docs would salivate over it.



To: Lane3 who wrote (6859)6/1/2009 7:15:26 PM
From: skinowski  Read Replies (1) | Respond to of 42652
 
There are many puzzling stories out there, and maybe yours is one of them, but "normally" it all depends on whether the individuals continue to work after they become Medicare beneficiaries. If they retire, Medicare becomes the primary payer. For as long as they continue to work, the employer sponsored insurance remains primary, and Medicare picks up the balance - for as long (to my knowledge) as the total fee does not exceed the Medicare allowed rates.


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