Hopefully I can explain my curly question well enough, the woman I spoke to at Medicare over the phone just told me it will all be assessed automatically which didn't really help me.
I'm $200 away from the safety net and I have to pay my management and planning fee next month ($2,200). I know the scheduled rebate is quite small compared to that, but if I was already over the safety net I would get an additional amount of my out of pocket expenses back.
Say, for arguments sake, I am $1900 out of pocket from the $2200 fee after the standard scheduled rebate.. $200 of that is pre-safety net threshold, but is the other $1700 assessed separately? Or because it is one single claim does that claim in general put me over and it's only the following claim that would be eligible for the extra back because I'm then over the safety net?
In a nutshell, will they assess a claim in two parts, the pre-threshold and post-threshold amounts?
If not, I'll present two or three more OB visit claims first to make sure I'm over the threshold and then put in my claim for the M&P fee as I'll then definitely be over, but I'd rather not wait the extra two months that would take, if possible..