Wiki Medicare Supplemental Charging Copay?

[suemt]

This is not quite coding, but maybe someone can help.

Medicare paid first, and there is coinsurance identified. The secondary payer is a commercial MC Supp plan, and they are applying a copay against the coinsurance.

It was my understanding that Medicare Supp paid all coinsurance after Medicare pays, but I could be wrong.

Any feedback/suggestions on how to get to the bottom of this? I don't want to recommend billing a Medicare patient unless I'm sure.

 

[LLovett]

Most supplemental coverages have their own deductibles and coinsurances. The only one I am aware of that should always pay 100% after medicare on covered services is Tricare for Life, even some medicaid plans have coinsurances.

Laura, CPC, CEMC

 

[claudias]

Yep, it does happen that Medicare and any secondary can assign co-insurance or deductible to the patient. As long as you have your EOB's indicating the same you can bill the patient. Go for it!