How do my Medicare claims get to my second insurance?

Answer:

You may send them yourself,

OR

Medicare may send them for you.

1. Medicare will send your claims to your second insurance IF

• You have a Medigap policy (A Medigap policy is one you pay for out of your own pocket.),

AND

• Your provider participates in Medicare,

AND

• Your provider gives us information about your Medigap policy on the claim.

OR

2. Medicare will send your claims to your second insurance IF

• Your second insurance has a crossover contract with Medicare,

AND

• You are on the crossover list.

You should contact your second insurance to find out if:

• You have a Medigap policy,

OR

• They have a crossover contract with Medicare,

AND

• And you are on the crossover list. Only they can put you on.

If your second insurance is not a Medigap plan or does not have a crossover agreement, you will have to send your Medicare Summary Notices to them.

 

Posted: 09/30/2003

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