Excess Income 12172013 Excess Income Definition Who Can

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Excess Income 12/17/2013

Excess Income 12/17/2013

Excess Income • Definition • Who Can and Cannot Participate • Types of Coverage

Excess Income • Definition • Who Can and Cannot Participate • Types of Coverage • Meeting an Excess with Bills • Sub Systems § Principal Provider § Pay-In

OPEN JANUARY-JUNE J 06 F 06 OP OP 01/01 02/01 to to 01/31 02/28

OPEN JANUARY-JUNE J 06 F 06 OP OP 01/01 02/01 to to 01/31 02/28 M 06 A 06 OP 03/01 to 04/30 M 06 J 06

APPLY-JAN $20 EXCESS JAN-$8000 UNPAID INPATIENT BILL $20 x 6 months = $120 A/R

APPLY-JAN $20 EXCESS JAN-$8000 UNPAID INPATIENT BILL $20 x 6 months = $120 A/R responsibility J 06 F 06 M 06 A 06 IP Coverage 01/01 - 06/30 M 06 J 06

OPEN APRIL-$6500 UNPAID $20 EXCESS BILL INPATIENT $20 x 3 months = $60 A/R

OPEN APRIL-$6500 UNPAID $20 EXCESS BILL INPATIENT $20 x 3 months = $60 A/R responsibility J F OP OP M A M J J OP 06 06 06 IP Coverage 01/01 - 06/30 Option 1 A S

OPEN APRIL-$6500 UNPAID $20 EXCESS $20 x 3 months = $60 A/R BILL INPATIENT

OPEN APRIL-$6500 UNPAID $20 EXCESS $20 x 3 months = $60 A/R BILL INPATIENT $20 x 6 months = $120 A/R responsibility J F OP OP M A M J J OP 06 IP Coverage 06 06 06 01/01 - 06/30 Option 1 IP Coverage 04/01 - 09/30 Option 2 A S

J $ $ $ F M A PRE RETRO PERIOD $ M $ J

J $ $ $ F M A PRE RETRO PERIOD $ M $ J APP PROSP MONTH PERIOD

APPLY JUNE-$40 PAID $20 EXCESS J J A S 06 06 $40 Paid $20

APPLY JUNE-$40 PAID $20 EXCESS J J A S 06 06 $40 Paid $20 Cr 20 Exc 20 Ex 20 Credit 0 OP Coverage 06/01 – 07/31 1 – 2 Month Accounting Period

OPEN NOV-$90 PAID $40 EXCESS S O N D J OP 06 06 $90

OPEN NOV-$90 PAID $40 EXCESS S O N D J OP 06 06 $90 Paid $50 Cr 40 Exc 40 Ex 50 Credit 10 Cr OP Coverage 11/01 – 12/31 1 – 2 Month Accounting Period $10 Credit Use it or lose it

APPLY-APRIL-$200 PAID $30 EXCESS A M $200 Paid $170 Cr 30 Ex 170 Credit

APPLY-APRIL-$200 PAID $30 EXCESS A M $200 Paid $170 Cr 30 Ex 170 Credit 140 Cr J J A S $140 Cr 30 Ex 110 Cr $110 Cr 30 Ex 80 Cr $80 Cr 30 Ex 50 Cr $50 Cr 30 Ex 20 Cr IP Coverage 04/01 - 09/30 1 – 6 Month Accounting Period Credit lost

OPEN UNPAID SEPT-$70 $20 EXCESS A MA PROVIDER $70 SUnpaid 20 Exc 50 MA

OPEN UNPAID SEPT-$70 $20 EXCESS A MA PROVIDER $70 SUnpaid 20 Exc 50 MA Pays OP Coverage 09/01 -09/30 1 – 1 Month Accounting Period O

APPLY MAY $50 EXCESS M J $400 Unpd $350 Cr 50 Ex 350 Cr

APPLY MAY $50 EXCESS M J $400 Unpd $350 Cr 50 Ex 350 Cr 300 Cr $400 UNPAID BILL NON MA PROV. J A S O $300 Cr 50 Ex 250 Cr $250 Cr 50 Ex 200 Cr $200 Cr 50 Ex 150 Cr $150 Cr 50 Ex 100 Cr IP/OP Coverage 05/01 – 10/31 1 – 6 Month Accounting Period

APPLY FEB. $90 UNPAID BILL $25 EXCESS CHIROPRACTOR F $90 Unpd 25 Ex 65

APPLY FEB. $90 UNPAID BILL $25 EXCESS CHIROPRACTOR F $90 Unpd 25 Ex 65 Credit M A M $65 Cr 25 Ex 40 Cr $40 Cr 25 Ex 15 Cr $15 Cr OP Coverage 02/01 – 04/30 1 – 3 Month Accounting Period Use it or lose it

APPLY JULY $45 UNPAID FEB $10 EXCESS J A $45 Unpd $35 Cr 10

APPLY JULY $45 UNPAID FEB $10 EXCESS J A $45 Unpd $35 Cr 10 Ex 35 Credit 25 Cr S O $25 Cr 10 Ex 15 Cr $15 Cr 10 Ex 5 Cr OP Coverage 07/01 – 10/31 1 – 4 Month Accounting Period N $5 Cr Use it or lose it

$100 EXCESS MAR-$95 UNPAID-X-RAY MAR-$75 UNPAID-DR MARCH: $100 A/R RESP - 95 UNPAID X-RAY

$100 EXCESS MAR-$95 UNPAID-X-RAY MAR-$75 UNPAID-DR MARCH: $100 A/R RESP - 95 UNPAID X-RAY $ 5 A/R UNMET BALANCE - 75 UNPAID DR ($ 70) BALANCE OF DR BILL, MA PAYS OP Coverage

NF Hospital Fred Flinstone AM 12345 Z X 03/01 to 03/31 3/15 3/02 Fred

NF Hospital Fred Flinstone AM 12345 Z X 03/01 to 03/31 3/15 3/02 Fred Flinstone- 987654 95. 00

Dr. Stone Fred Flinstone AM 12345 Z X 03/01 to 03/31 5. 00 3/20

Dr. Stone Fred Flinstone AM 12345 Z X 03/01 to 03/31 5. 00 3/20 3/10 Fred Flinstone -65432 75. 00

APPLY JUNE MARCH-$95 PAID $30 EXCESS Retro M A&M $95 Pd NO BILLS App

APPLY JUNE MARCH-$95 PAID $30 EXCESS Retro M A&M $95 Pd NO BILLS App J J A S $95 Pd $65 Cr $35 Cr $5 Cr 30 Ex 65 Cr 35 Cr Use it or lose it OP Coverage 06/01 – 08/31

APPLY MAY $55 EXCESS J F M A Pre Retro M App JAN –

APPLY MAY $55 EXCESS J F M A Pre Retro M App JAN – $35 UNPAID DENTIST MAR – $105 UNPAID EYE DR. MA Pays 20 PAID PHARMACY APR – $50 UNPAID PHARMACY MA Pays 50 PAID DOCTOR 50 UNPAID DOCTOR 5 PAID PHARMACY MA Pays

APPLY NOV EXCESS DOS 8/7 8/20 $700 PAID $150 Used for Aug – Nov

APPLY NOV EXCESS DOS 8/7 8/20 $700 PAID $150 Used for Aug – Nov with PHARMACYcredit in Dec $500 UNPAID DOCTOR MA PAYS Used for CHIROPRACTOR Dec - Jan 11/22 $400 PAID 11/29 $100 UNPAID PHARMACY IP/OP COVERAGE FOR AUGUST - JANUARY MA Pays Can’t carry remaining credit

OPEN $75 EXCESS DOS Used for March 3/5 $125 UNPAID DOCTOR BILL 3/13 $

OPEN $75 EXCESS DOS Used for March 3/5 $125 UNPAID DOCTOR BILL 3/13 $ 35 UNPAID LAB BILL MA PAYS 4/20– 25 $1200 UNPAID INPATIENT HOSPITAL BILL Send 3183 $1200 – 450 = $750 MA Pays 23

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Limiting and Excess Reagents STOICHIOMETRY Limiting and ExcessLimiting and Excess Reagents STOICHIOMETRY Limiting and Excess
Excess holes p Excess electrons n ptype ntypeExcess holes p Excess electrons n ptype ntype
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1 Household Income 1 Household Income Income is1 Household Income 1 Household Income Income is
NATIONAL INCOME ACCOUNTING What is Income 1 IncomeNATIONAL INCOME ACCOUNTING What is Income 1 Income
NATIONAL INCOME WHAT IS NATIONAL INCOME National incomeNATIONAL INCOME WHAT IS NATIONAL INCOME National income
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Income Unemployment Income Social Security Benefits Other IncomeIncome Unemployment Income Social Security Benefits Other Income
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DISTRIBUTION OF INCOME GOVERNMENT CAN REDISTRIBUTE INCOME INDISTRIBUTION OF INCOME GOVERNMENT CAN REDISTRIBUTE INCOME IN
CAN CAN CAN CAN bus controller area networkCAN CAN CAN CAN bus controller area network
definition q q q A state of excessdefinition q q q A state of excess