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Called the Medicare Fee Control Act, this law is for seniors who sometimes find it difficult to pay for the health care they need. There are many questions about how this law affects senior citizens. To help you understand what the Medicare Fee Control Act means for you, this brochure contains important information about the law, and provides telephone numbers and addresses for further information. I hope you find it useful, and I urge you to contact my office by telephone or mail if you would like additional copies of this brochure for friends or family.
More information on the law can be obtained from your local Area Agency on Aging or from the
State Representative
Compliments of
Jesse White
Capitol offiCe: 102B East Wing P.O.Box202046 Harrisburg,PA17120-2046 Phone:(717)783-6437Fax:(717)780-4781 DiStRiCt offiCeS: Cecil: 3855MillersRunRoad P.O.Box285Cecil,PA15321 Phone:(724)746-3677Fax:(724)746-3799 Burgettstown: 1425BurgettstownPlaza#5 Burgettstown,PA15021 Phone:(724)947-4422Fax:(724)947-5386 Canton Township: 2403JeffersonAve.SuiteC Washington,PA15301 Phone:(724)222-4192Fax:(724)222-4194
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WeBSite: www.pahouse.com/white
Is there an example?
A practitioners fee for a procedure is $130 and the Medicare reasonable charge for the procedure is $100. Medicare will pay $80 and you (or your insurer) must pay the remaining $20. You may not be charged the $30 amount that exceeds the reasonable charge.
What is an overcharge?
An overcharge is the amount of money billed by a health-care practitioner to a patient that is in excess of the Medicare reasonable charge. Many people have never been overcharged by a doctor. For others, the overcharges can total several thousand dollars a year.
Will I still be responsible for the 20 percent copayment that Medicare requires?
Yes. Many people carry medigap policies, which cover the 20 percent copayment. Either you or your insurance company still will need to pay the 20 percent copayment. Also, you still are responsible for the annual Medicare deductible.