Doctors taking Medicare but not Medigap?

[DS4]

Upon enrollment, the med supp carrier sets up crossover. Upon cancellation, the med supp carrier takes crossver off,

 

[LostDollar]

My MyMedicare account shows my Medigap plans.

I have always assumed that information came from the carriers. My current Medigap plan was listed in my MyMedicare account prior to any provider visits.

 

[somarco]

Agreed, but Medicare has to know what company it is before they can send it. As far as I know, a Med Supp carrier won't tell Medicare that they have a new client. The client has to get that info to Medicare somehow, which is usually done from the doctor or hospital.

Most people have it on file at their doc's office, which is why they don't get asked for it continuously.

You are still a youngster, but when you are old enough . . . you can login to your MyMedicare account and it will show who your Medigap & PDP carriers are.
Medicare.gov

 

[rousemark]

Hey Chazm - You are correct.

Somarco Sir, I am a cancer survivor too. I am too superstitious to go on a MAPD myself. I will be 5 yrs this July and I still have my port in place.

Know what you mean.. When I turned 65 I redid my insurance and dropped my cancer plan I had carried for several years. 7 months later I was diagnosed with stage 4 throat cancer and told it was massive and incurable. Fortunately, they were mistaken but I am leery of dropping another insurance plan... especially life insurance!

 

[Todd King]

You are still a youngster, but when you are old enough . . . you can login to your MyMedicare account and it will show who your Medigap & PDP carriers are.
Medicare.gov

That's something that I have not questioned in quite sometime. I know that the companies did not do this at one point in time and it was the Dr. or Hospital that transmitted the info to Medicare.

Little things like this get past you when you're not in the field anymore!

Thanks for the correction all!

 

[somarco]

at one point in time and it was the Dr. or Hospital that transmitted the info to Medicare.

Maybe so . . . providers have access to (some) of your Medicare information. They know if you have satisfied your deductible or not.

Medigap carriers check the MARx system before approving a Medigap application to make sure the Medicare number + A&B dates match their records. They also notify Medicare once the app is approved.

 

[rousemark]

That's something that I have not questioned in quite sometime. I know that the companies did not do this at one point in time and it was the Dr. or Hospital that transmitted the info to Medicare.

Little things like this get past you when you're not in the field anymore!

Thanks for the correction all!

Remember when United American was one of the first companies with auto claims filing. In fact, for a while they charged and extra fee for it..

 

[goillini52]

Remember when United American was one of the first companies with auto claims filing. In fact, for a while they charged and extra fee for it..

Globe Life and UA were the 1st. Sure saved a lot of time on customer service.

I don't remember a fee. Maybe captives were different.

 

[Chazm]

Somarco,

Sometimes I feel like I am some sort of newbie when I'm on here, maybe I should have been contributing more as I have been on this site since 2015...this my friend, is from my notes circa 2014, after reviewing Mayo Clinic Jax website for a client of mine down in Punta Gorda:

The Mayo Clinic is a non participating provider with Medicare Part B. We are a participating provider with Medicare Part A.

What this means is that Mayo will obtain an authorization for all procedures to perform that is both inpatient and outpatient.
* * * * *
An ABN waiver will need to be signed. If Medicare does not pay for any portion of the procedure codes submitted, the patient is required to pay for all charges not paid for by Medicare. They will, as a courtesy, submit their bill to Part B contractor but they expect payment from the patient regardless if Medicare pays (or not).

In 2020, it is my understanding that they do accept Original Medicare but do not accept assignment, so they would be one of the facilities that would charge the excess fees.

There was a recent article where the CEO of Mayo told his employees that their revenues had been down. For scheduled services, individuals who had commercial plans were to receive first scheduling priority, then Medicare, Medicaid and the Uninsured were to follow as they lose money on those patients. They would continue to accept any person thru their Emergency Department.

I also checked Aetna Medicare Premier PPO Plus plan because in the past, Mayo was listed as a contracted provider, as was Humana Regional PPO. I do not see them listed any longer. Mayo (for whatever reason was previously listed under Aetna's short term facility, but I did not find Aetna listed either. Mayo Clinic used to have a list of both their Commercial insurance accepted plans and their Medicare accepted plans. That list is no longer on their site. They have a one paragraph blurb basically stating they do accept Original Medicare but the patient should call to be certain what all services Medicare will cover, and how much the patient may pay out of pocket.

EDIT: Mayo does suggest that the patient contact their Billing/Financial Dept and discuss what insurance they do accept PRIOR to having any services there.

Report: Mayo Clinic to cherry-pick patients with commercial insurance over Medicare and Medicaid patients

Mayo Clinic halts scheduling of out-of-network Medicare Advantage patients

humana and Aetna were not recently in network for Mayo Clinic. I lived there and checked every year and spoke to them on the phone. They didn’t take any Medicare advantage plans in-network. There are some doctors who are a part of mayo PCP’s and specialist that accept it, but the clinic does not and did not

 

[rousemark]

Globe Life and UA were the 1st. Sure saved a lot of time on customer service.

I don't remember a fee. Maybe captives were different.

This was back in the days when UA had no association with Globe.. I think the charge was $2 per month.