High School

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Nico Allergy Clinic is treating Mr. Rob for allergies. Mr. Rob has Medicare Part A.

- Total charges for the visit: $168
- Charged for professional services: $168
- Medicare-approved charges: $65

Medicare paid: _______________.

Mr. Rob owes coinsurance of _______________.

Answer :

Medicare paid: $52. Mr. Rob owes coinsurance of $116.

Medicare Part A typically covers hospital inpatient services, so it wouldn't directly cover outpatient visits like those to Nico Allergy Clinic.

However, for the sake of calculation, let's assume Medicare Part B covers outpatient services, including those at Nico Allergy Clinic.

Medicare Part B usually covers 80% of the Medicare-approved amount for covered services, after the yearly deductible is met. Let's assume Mr. Rob has already met his deductible.

Medicare paid: \( \$65 \times 0.80 = \$52 \)

Mr. Rob owes coinsurance of: \( \$168 - \$52 = \$116 \)

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