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Medicare Policies

Rush Copley Medical Center bills Medicare for inpatient and outpatient services. Supplemental insurance -- if provided at the time of service -- will be billed after Medicare payment is received.

Although Medicare must be allowed as much time as necessary in order to process a claim, RCMC requires that supplemental insurance companies make payment within 90 days. Balances on accounts older than 90 days may be billed to the patient. Patients are responsible for any charges not covered by Medicare and/or supplemental insurance.

Medicare Deductible and Coinsurance Amounts for 2017:

Part A Inpatient Deductible: (pays for inpatient hospital, skilled nursing facility, and some home health care)

For each benefit period Medicare pays all covered costs except the Medicare Part A deductible (2017 = $1,316) during the first 60 days and coinsurance amounts for hospital stays that last beyond 60 days and no more than 150 days. For each benefit period you pay:

Days 1 - 60 $1,316
Days 61 - 90 $329 per day
Days 91 - 150 $658 per day (Lifetime Reserve Days)
All costs for each day beyond 150 days

Note: You have 60 Lifetime Reserve Days available at day 91

Part B Outpatient Deductible: (covers Medicare eligible physician services, outpatient hospital services, certain home health services, durable medical equipment)

$183 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the $183 deductible.)

Skilled Nursing Facility Co-insurance

Days 1 - 20 Medicare Covers
Days 21 - 100 $164.50 per day

In addition to your deductible, you may be liable for co-insurance.

Learn more with these Frequently Asked Medicare Questions.