Wiki Medicare Supplemental plan payments

[cmsulliv]

New provider here trying to navigate the billing world. As someone who ONLY takes original Medicare (no commercial plans), do I still get reimbursed from Medigap plans for the extra 20% of allowable fee schedule even though I am not enrolled with them? If so, how long do companies typically take to remit payment?

 

[csperoni]

Medigap plans should reimburse for whatever type of coverage the patient has, regardless if you are contracted with them. In fact, most Medigap do not use a network at all, since they are processing after Medicare.
Please note some patients have a secondary coverage that is not Medigap (like a retiree plan) and those may differ.
Also note that not all Medigap plans cover the full 20% patient co-insurance that Medicare applies. Some may have a copay, or an additional deductible.
From my experience, most Medigap plans will auto crossover from Medicare and payment is usually in less than 30 days.
Hope that helps and I would STRONGLY encourage you to find appropriate staff to handle this for you rather than spend provider time on billing.