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 |
Medicare Pays |
$400 Generally, 80% of Medicare allowable charges: $500 x 80% = $400 |
Plan Pays |
$80 80% of remaining eligible expenses covered by the plan $100 x 80% = $80 |
You Pay |
$20 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.