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10-05-2019 10:13 PM
@Mindy D Many of your posts would be easier to read if you would use paragraphs. I just don't read items that go on and on with no break.
I know you post a lot of medical things which is fine. I would read some of them if they were broken up for easier reading.
10-05-2019 10:15 PM
The Medicare and you book tells you to make sure with your Dr. To put you as an impatient. My friend went through this recently and we both read it.
10-05-2019 10:27 PM - edited 10-05-2019 11:04 PM
Just my opinion, but as far as I’m concerned, there shouldn’t even be anything called “Observation Status” once you are in a hospital room. From my point of view, if you are in a hospital room, you should be considered “ADMITTED” and an “INPATIENT.” The only decent alternative is to change the Medicare rules to say that all observation services received in a hospital be deemed inpatient.
10-05-2019 10:33 PM - edited 10-05-2019 10:36 PM
@kidznpupz wrote:Does anyone know how your Medicare supplement fits into this scenario? I have Plan G .
@kidznpupz Read you insurance booklet that explains YOUR coverage. It should be self explainatory what you are asking. If not, strongly suggest that you contact your supplement carrier to have them explain it to you in laymen's terms.
As someone already mentioned, supplemental ins is primary over Medicare. In some cases, Medicare is primary.
What YOUR plan pays should be clearly written in your policy as well as the EOB's from Medicare.
"Never argue with a fool. Onlookers may not be able to tell the difference."
10-05-2019 10:40 PM
@Mindy D While you may be providing important info, please break up the text. It is very difficult to read long, streaming sentences.
10-05-2019 10:52 PM
@lovesrecess wrote:
Medicare is primary since the insurance company doesn’t want to pay any more than they have to. I think I may have posted the opposite earlier...my mistake
If you are employed, your employee insurance is primary over Medicare.
10-05-2019 11:21 PM - edited 10-05-2019 11:25 PM
If you can find this article online, I suggest reading it. It’s on the site verywellhealth .com
“What Is Hospital Observation Status?”
Updated September 27, 2019
10-06-2019 12:09 AM
@kidznpupz wrote:Does anyone know how your Medicare supplement fits into this scenario? I have Plan G .
@kidznpupz Read you insurance booklet that explains YOUR coverage. It should be self explainatory what you are asking. If not, strongly suggest that you contact your supplement carrier to have them explain it to you in laymen's terms.
As someone already mentioned, supplemental ins is primary over Medicare. In some cases, Medicare is primary.
What YOUR plan pays should be clearly written in your policy as well as the EOB's from Medicare.
Medicare will pay first for any covered procedures,and then your Plan G pays. Please check your Explanation of Benefits booklet or call the company with any questions.
10-06-2019 12:27 AM
@Nuttmeg : The real answer as to which insurance is primary is: it depends. Read up on it; as a 75 yr old Federal Govt retired with private bcbs, Medicare is primary for me but your situation is always different from mine (for ex. If you are still working it depends on the size of your company and which insurance you have. Google it or check out Social Security site and read it for yourself.
10-06-2019 12:29 AM
@nutmeg3 : The real answer as to which insurance is primary is: it depends. Read up on it; as a 75 yr old Federal Govt retired with private bcbs, Medicare is primary for me but your situation is always different from mine (for ex. If you are still working it depends on the size of your company and which insurance you have). Google it or check out Social Security site and read it for yourself.
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