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Managing out-of-Pocket Costs and Paying for Medicare

You can pay Medicare or Medicare-related insurance premiums in either of two ways:

  • Most Medicare-related plan administrators prefer the option of having the premium automatically deducted from your monthly Social Security check. Traditional Medicare will usually do this unless you ask it not to;
  • Another option is paying in cash or with a cheque. In most cases, you need to mail this payment to your plan administrator by a set date (usually the 5th), each month. Some plans allow you to make payments, in person, at designated offices, too. Paying your premium on time is a must. If your plan has not received your premium payment by the 15th of the month, the administrator will send you a notice telling you that your plan membership will end if it does not receive your premium within 90 days of the due date. In addition to the monthly premium, there are two common types of out-of-pocket costs you may pay for services provided under Medicare:
  • You pay a coinsurance at the time you get the medical service. Coinsurance is the percentage you pay of the total cost of certain medical services;
  • A co-payment is the fixed amount you pay each time you receive certain medical services. You pay a co-payment at the time you get the medical service.

There are State Medicaid programs to help people pay their out-of-pocket costs for Medicare. These "Medicare Savings Programs" include the Specified Low-Income Medicare Beneficiary (SLMB), Qualified Medicare Beneficiary (QMB), Qualified Disabled & Working Individuals (QDWI) programs, and Qualifying Individual (QI. You may still have to pay a co-payment for Medicare-related services) if you are enrolled in one of these programs.

Additional Resources

Online Encyclopedia
Original 1911 Encyclopedia Britannica

Human Illnesses
Human Disease Encyclopedia

Medical Discoveries
Medical Knowledge and Research Encyclopedia

Encyclopedia of Surgery
Comprehensive Surgical Reference.

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