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Thread: Medicare Supplemental Charging Copay?

  1. #1

    Default Medicare Supplemental Charging Copay?

    AAPC: Back to School
    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.

  2. #2
    Join Date
    Apr 2007


    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

  3. #3
    Join Date
    Apr 2007
    North Seattle


    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!
    claudia salas

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