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What is a Medicare replacement?
Medicare Part C(also called Medicare Advantage)· Part C is a replacement to Part A and B(& possibly Part D) sold by United Healthcare, Blue Cross and others. Details of coverage vary by company but are similar to Medicare A and B. · If you have Part C, you generally do not need a Medigap policy because these plans usually pay for the gaps.· You can join a Medicare Advantage plan during the 3 months before you turn 65 until 3 months after you turn 65. You can change plans or join an Advantage plan between October 15th and December 7th of each year with a January 1 effective date.
When you are on medicare can you have a supplemental plan and also an advantage plan?
AnswerYes but the supplement won't pay anything then.
Is Aetna Medicare primary over Medicare?
The answer depends on what type of Aetna Medicare Plan you have. If you have an Aetna Medicare Supplemental Plan, then Original Medicare pays first and the Aetna plan pays secondary If you have an Aetna Medicare Advantage HMO Plan, then the Aetna plan will always be primary as Medicare has assigned the benefits over to Aetna for processing and administration.
What is my primary insurance my husband's plan at work or medicare?
If you are covered under your husband's plan and he is working, his plan is primary to Medicare. If you are not covered under your husband's plan, Medicare is primary.
What is shadow billing in medical billing?
Hospitals are reimbursed by Medicare for handling a high level of indigent patients and are also reimbursed for educating interns and residents. When a Medicare patient is covered by a Medicare Replacement Plan (HMO Insurance for medicare patients), the hospital can only get the extra reimbursement for indigent patients and educating intern and residents if they send Medicare a "shadow bill". Basically, it is a copy of the identical bill sent to the HMO which is submitted to Medicare only for the purpose for the extra payment.
What is the definition of medigap?
Medigap, also called a Medicare Supplement, basically pays the portion of medical expenses that Medicare expects you to pay. Medicare is an "80/20" plan, meaning Medicare pays 80% of the bill and you pay 20% of the bill. Medigap can pay the 20% for you. Depending on which Medigap plan you choose, the plan can also pay the (2009) $1068.00 hositalization deductible for you and the $135.00 doctor's office deductible for you.
What is a medicare supplement and a medicare replacement?
Medicare supplement pays part or all of your deductibles and copays that you have with Medicare parts A and B. A "Medicare replacement" is actually Medicare advantage. They are a Medicare option that combines your Part A, B and sometimes part D into one plan that is administered by a Medicare contracted insurance company. Many of these plans have very low or even 0 monthly premiums. You still have copays but they are generally much less than Original Medicare. (If this question relates to United States Medicare, there is no such thing as the concept of "Medicare replacement." I do not see anywhere to add an alternative answer so I put this here just as a warning. In the United States you are either on Medicare or you are not. If you are on Medicare in the United States, you will almost certainly feel the need to supplement it. Over 95% of the people on United States Medicare supplement it in some way. There is a wide choice of ways to supplement United States Medicare. The answer above describes only two of them.
When a Medicare beneficiary has employer supplemental coverage Medicare refers to these plan as?
large group health plan
Is the Humana Gold Choice insurance plan more comprehensive that a standard Medicare Supplement plan?
Humana Gold Choice is more comprehensive than some Medicare supplemental plans, but it really depends on the plan. Humana Gold Choice is a Medicare Advantage plan that offers the same benefits as the original Medicare plan except that it is a PFFS, Private Fee-for-Service, plan. However, plans like Medicare Supplemental Plan G and Medicare Supplemental Plan F offer more comprehensive benefits than the Humana Gold Choice plan.
The New jersey plan is also known as what?
Also known as the Small State Plan or the Paterson Plan.
What is the best Medicare advantage plan?
There is no one best Medicare Advantage plan for everyone. You must decide which plan is best for you based on your location, cost of plan, etc.
Do you have to have Medicare Part B if you have a medicare supplemental plan?
Yes; by definition, Medicare supplemental insurance "supplements" Medicare A & B.
