This simple example shows how your UC Medicare Supplement plan coordinates with Medicare when you see a provider who accepts Medicare.
The plan covers annual preventive screenings and lab tests recommended by Medicare based on your age and gender at 100% when you see a provider that accepts Medicare.
|Medicare Allowed Amount||$500|
Generally, 80% of Medicare allowable charges:
$500 x 80% = $400
80% of remaining eligible expenses covered by the plan
$100 x 80% = $80
20% of remaining eligible expenses covered by the plan, plus any charges not covered by Medicare
$100 – 80 = $20
Not All Providers Accept Medicare
There may be times when you use what Medicare calls a “non-participating provider.” Because these providers are not bound by Medicare, they can charge you more than the Medicare “allowable amount.” Learn more.