Author Topic: Medicare Advantage Plans  (Read 2152 times)

mkroper

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Medicare Advantage Plans
« on: June 14, 2013, 03:42:13 PM »
Do the Medicare Advantage Plans pay providers according to the Medicare fee schedule or their own contracted fee schedule?  Still Learning!

Merry

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Re: Medicare Advantage Plans
« Reply #1 on: June 14, 2013, 05:10:50 PM »
They must offer AT LEAST the same benefits of Original Medicare but they can reimburse at a different rate.

dekenn

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Re: Medicare Advantage Plans
« Reply #2 on: June 17, 2013, 01:04:26 PM »
They must offer the same BENEFITS to the INSURED. This does NOT mean that they reimburse the provider the same amount as Medicare.
Each insurance carrier is different.  Oxford Medicare for example does not reimburse at Medicare rates.  Neither does the AARP Medicare Complete. THey reimburse at a much lower rate.

mkroper

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Re: Medicare Advantage Plans
« Reply #3 on: June 19, 2013, 05:38:44 PM »
Thank you for your help!

Medical Billing Forum

Re: Medicare Advantage Plans
« Reply #3 on: June 19, 2013, 05:38:44 PM »