Medigap vs Supplemental Insurance
Hi, I am a little confused between the difference between Medigap and a Medicare supplement ( I am assuming there is one). If an insurance card says Medicare supplement on it, is it Medigap or a...
View ArticleRe: Medigap vs Supplemental Insurance
Medigap insurance is also known as Medicare supplement insurance.
View ArticleRe: Medigap vs Supplemental Insurance
Aha! So if the card says Medicare supplemental insurance it is Medigap and it should go in box 9. Thanks very much!...Robin
View ArticleRe: Medigap vs Supplemental Insurance
Medigap policy is meant to be a supplimentary and also the insurance that offer medigap policies must include a policy that is within ten standardized benefit policies that are labeled A through J....
View ArticleRe: Medigap vs Supplemental Insurance
Thanks for all of that information! My problem is that I was told by Medicare that box 9 on the cms 1500 should only contain the name of the supplement if it is Medigap, but my provider says she...
View ArticleRe: Medigap vs Supplemental Insurance
We always put the SECONDARY insurance in box 9, whether it is a medigap policy or not. If you file electronically to the primary, you may get a message back saying they could not identify the...
View ArticleRe: Medigap vs Supplemental Insurance
Thanks Sharon! That's exactly the confirmation I was looking for! It was amazing how many people from Medicare itself couldn't answer the question for me or tell me the difference between a Medigap...
View ArticleRe: Medigap vs Supplemental Insurance
But I finally got someone who told me that although it is not required for other than Medigap,That may be true for Medicare and your carrier, but it is not true for commercial insurance.And by the...
View ArticleRe: Medigap vs Supplemental Insurance
And I've been told by Medicare reps it doesn't matter what you put in there, and it doesn't matter if you put nothing at all, because they're only interested in seeing what's PRIMARY to Medicare. If...
View ArticleRe: Medigap vs Supplemental Insurance
I hear ya on the useless webpage. I got the weirdest EOB denial code from Medicare recently. Well, *I* think it's weird. Medicare was secondary. We attached the primary EOB, and the balance on the...
View ArticleRe: Medigap vs Supplemental Insurance
Thanks to both of you. All of these replies have really helped me. Sharon, you know they will find any excuse to hold on to your money for as long as they can! Too bad there's no "False EOB ACT!" ; )...
View ArticleRe: Medigap vs Supplemental Insurance
There is. It's called ERISA. Title 29 CFR 2560-503-1. It states exactly what is supposed to be on an EOB with an ERISA Plan.
View ArticleRe: Medigap vs Supplemental Insurance
There is a "Prompt pay law", regulated by each state that mostly applies to claims that are not adjudicated within a period of usually 30 days from the date of receipt of claim. (It could vary based...
View ArticleRe: Medigap vs Supplemental Insurance
Thanks for the information - I have heard about the prompt pay law, but haven't really ever seen it challenged. From my past experience working for other companies, I would say a huge percentage of...
View ArticleRe: Medigap vs Supplemental Insurance
There is a lot of debate going on if ERISA is a paper tiger or not. ERISA is a powerful law and by nature a federal law that helps providers win cases, preemptive of state laws that can help insurance...
View ArticleRe: Medigap vs Supplemental Insurance
ERISA is a powerful law. The problems with it are:Doctors have no rights under ERISA.The EBSA is a paper tiger. The EBSA is the regulatory agency for the Department of Labor. If you write to them,...
View ArticleRe: Medigap vs Supplemental Insurance
Thanks Vinodgopal and Steve- quite an education! ; ) ...Robin
View ArticleRe: Medigap vs Supplemental Insurance
The following is from the Connecticut Medicare site under the resources / crossovers section.UNDERSTANDING CROSSOVERSI. TYPES OF TRADING PARTNERSMedicare provides basic protection against the cost of...
View Article
