What is the overall maximum payment amount that Medicare would reimburse for a service that costs $3000 under Part B?

Prepare for your Social Security and Medicare Exam. Study with engaging flashcards and challenging multiple choice questions complete with hints and explanations. Get ready to ace your test!

The overall maximum payment amount that Medicare would reimburse for a service under Part B is determined by the coverage policies and the fee schedule set by Medicare. Typically, Medicare Part B covers 80% of the approved amount for outpatient services after the beneficiary has met their deductible.

In this scenario, if the service costs $3000, Medicare first assesses the approved amount for that service. For instance, if the approved amount is determined to be $3000, Medicare would reimburse 80% of that amount. Calculating this gives us $3000 multiplied by 80%, which equals $2400. This reflects the reimbursement policy of Medicare, where beneficiaries are responsible for the remaining 20%.

Thus, when taking into account the percentages commonly associated with Medicare reimbursements, $2400 is the appropriate maximum payment amount that Medicare would provide for the service described.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy