Certified Medical Assistant Practice Exam

What percentage will Medicare pay on an allowed claim?

1. 70%

2. 75%

3. 80%

4. 85%

The correct answer is: 80%

Medicare typically pays 80% of the allowed amount for most covered services after the deductible has been met. This means that for eligible treatments or diagnostic services, once the patient has paid their deductible, Medicare will cover the majority of the cost, leaving the remaining 20% for the patient to pay, either out-of-pocket or through supplemental insurance. This coverage is part of Medicare Part B, which deals with physician services and outpatient care. The other percentages mentioned do not reflect the standard coverage by Medicare, which makes the response indicating 80% the correct choice.