HEALTH CARE; When Medicare is not paying medical claims
My husband recently retired from his job and because I am over 65, I needed to sign up for Medicare. I had to go to the local
It was not until I went to the doctor and had my claim denied when I discovered that the old employer insurance was still listed as primary not Medicare.
Now my nightmare begins. The insurance company (
Janie:
In the past few weeks, the Toni Says® Medicare hot line has been receiving questions such as yours who are having their Medicare claims denied after leaving employer insurance. Medicare still has the employer group health plan, whether it is UHC, Cigna,
There is a process that those leaving employer group health plans. Whether you are the employee or the covered spouse and enrolling in Medicare should do to verify which is considered primary insurance. Also, you need to inform Medicare that Medicare should be primary, and that you or your spouse are no longer covered on an employer group health plan.
The verification process to discover what is your primary Medicare insurance is below:
1) Visit www.mymedicare.gov and register for a MyMedicare.gov account.
2) View what is in your MyMedicare.gov account and verify that your Medicare information is correct. Knowing this information, you will be able to view what Medicare is viewing while you are discussing your Medicare issues such as what Medicare plan you are using, what Medicare Part D plan you are enrolled in, Medicare claims and other Medicare issues.
3) If you see that your employer group health plan is still primary after you have enrolled in your and/or your spouse's Medicare Part B, then Medicare is requesting that you call the
Please email the Toni Says® Medicare team at [email protected] or call 832-519-8664 regarding Medicare questions including Toni's stress-free way to enroll in Medicare. Sign up for Toni Says® newsletter at www.tonisays.com to keep up to date on Medicare changes
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