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Medicare and Health Care


*This is a non-medical board. This site shall not be used to seek professional, medical or legal consultation.

Medicare is health insurance for people age 65 or older, under age 65 with certain disabilities, and any age person with End-Stage Renal Disease (ESRD). There are many different parts to Medicare; with all of these options, it can be confusing.

This forum will allow members to share their experience with medicare and seek advice* on certain medicare-related situations.

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DennisT  
#1 Posted : Thursday, May 23, 2019 5:06:26 PM(UTC)
DennisT

Rank: Newbie

Groups: Registered
Joined: 9/16/2018(UTC)
Posts: 1
United States
Location: KY

We just went on Medicare this year and my wife had her first Dr. visit. Today we get a notice from Blue Cross that they won't pay their portion until we send them the Medicare EOB. Is that how this plan works? Will we have to do that for each medical charge going forward? I wasn't expecting that.

DT
HoosierDaddy  
#2 Posted : Friday, May 24, 2019 3:31:34 AM(UTC)

Rank: Senior Member

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Joined: 1/18/2011(UTC)
Posts: 271

Was thanked: 21 time(s) in 17 post(s)
Here's how it is supposed to work if Medicare is now your primary insurance. The Drs. office sends the claim to Medicare and Medicare pays what they're gonna pay and Medicare forwards the claim to Blue Cross which pays the balance. You need to inform all of your medical providers that Medicare is now your primary insurance and Blue Cross is secondary. You also need to call Medicare and Blue cross and make sure they know who is primary and who is secondary and that they have each others billing info . The Blue Cross plan brochure has some information on coordinating benefits starting on page 147.
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