Joseph D' Amico is covered by Blue Cross and Medicare. His Blue Cross plan has an 85-15 coinsurance and a $100 deductible. this year's Medicare deductible is $110. He was seen in our office on January 11; charges for the office visit were $135. Claims were submitted to Blue Cross as primary and to Medicare as secondary payer.
1. What amount will Blue Cross be responsible for?
2. What amount will Medicare be responsible for?
3. What amount will Joseph be responsible for?
Joseph saw the doctor again in February. Charges for the office visit and tests were $215.
4. What amount will Blue Cross be responsible for?
5. What amount will Medicare be responsible for?
6. What amount will Joseph be responsible for?