Medicare is supposed to pay for an endoscopy, plus I have supplement. I still got a bill from endoscopy center? If medicare is suppose to pay for the endoscopy I should’d have to pay anything, not even use supplement.
Why Did I Get A Bill For An Endoscopy When I Have Medicare And A Supplment?
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If you had a Medicare Supplement plan, the 20% of expenses you would normally be responsible for may be fully covered, depending on which Medicare Supplement plan you have. There area 11 different Medicare Supplement plans available in the marketplace - plans F and G being the most comprehensive.
Please note, if you do have a Medicare Supplement plan, when you visited the endoscopy center, both the Medicare ID card and Medicare Supplement ID card should have been presented to the receptionist (or whomever handles billing at the facility) so the facility could bill Medicare and then the insurance company for the difference (if you had a Medicare Supplement plan that was not a plan F, you may be responsible for an extra amount (to an extent - again, depending upon the plan letter you have)).
I hope the information is helpful - please feel free to contact me if you have any other questions or would like to consider securing a Medicare Supplement plan. Even if you have a Medicare Supplement plan, a lower rate may be available to you without affecting the existing benefits or you may be able to improve upon what you have - Medicare Supplement plans are standardized so the coverage is the same for a given plan letter, regardless of the insurance company the coverage is through.
My questions/thoughts are:
1. What Medigap plan do you have? F (which we almost never enroll clients in - MATH dictates that), G, K, N, or one of the other parts of the Alphabet soup.
2. Was is just not billed or coded correctly?
3. Depending on the supplement Letter you have, it could be that Excess Charges were not covered???
4. OR... only an thought ... I get calls all the time from people who want to "look for a different supplement" when in fact they have a Medicare Advantage plan. The average person doesn't distinguish between the two: Medigap & Advantage. So if you have an advantage plan, you are getting billed for the co-pay(s).
Reach out directly if you want further clarity. THANK YOU!!