All of my providers are out of network. I have been encountering an issue with Supplemental Plan F and Gs not paying excess charges. They are all DME providers which is excluded from the limiting charge concern. The F and G plans are not paying the excess charges after Medicare has process as a primary payer. Based on the below chart the Plan F and Gs should be paying excess charges. Is anyone else experiencing this? The insurance companies are refusing to cover the excess charges and the only way that I have had any success getting it covered it to get the patient involved or filing a DOI complaint. Any suggestions?
