General Category > General Questions
Medicare Co-insurance Amounts
DMK:
It wouldn't hurt to call the secondary and verify that. We are Medicare and Blue Cross contracted. Most of our patients who have Blue Cross as their secondary get their co-pay and deductible paid at the Medicare rate, some Blue Cross plans, however, only pay up to the Blue Cross rate which is less than Medicare. So they pay the deductible to the B/C rate, and pay no co-pays as M/C paid more than the B/C rate.
The phone call will be ammo for the discussion with the Provider. Gotta have your back up info!
Pay_My_Claims:
--- Quote from: DMK on April 21, 2010, 04:20:29 PM ---It wouldn't hurt to call the secondary and verify that. We are Medicare and Blue Cross contracted. Most of our patients who have Blue Cross as their secondary get their co-pay and deductible paid at the Medicare rate, some Blue Cross plans, however, only pay up to the Blue Cross rate which is less than Medicare. So they pay the deductible to the B/C rate, and pay no co-pays as M/C paid more than the B/C rate.
The phone call will be ammo for the discussion with the Provider. Gotta have your back up info!
--- End quote ---
UHC secondary plans are the same. they don't flw medicare guidelines. they don't pay the ded/coins. they see what medicare pays, and what they allow. virtually paying nothing for the visits.
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