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Cost estimates before 2nd insurance is even billed?
Why am I send a cost estimate when Secondary insurance hasn't been billed or payment not yet received. Medigap policies (Plans F, G and N) are designed to pay the remaining 20% of cost. Get the APP to see that and generate message that is appropriate or not one at all until ALL insurance has paid.
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@dwwaggoner
I do not work for Mayo, but I can talk about my experience with estimates and billing. I am on original Medicare (A&B) with a supplemental (G) policy.
When Mayo schedules tests, referrals, procedures, they do an estimate to verify that it is covered by my Medicare insurance. This is based on the ICD-10 code used to order. If it is not covered, I am asked to sign an ABN (Medicare Advance Beneficiary Notice) acknowledging that if Medicare does not pay, I will be responsible.
If Medicare approves, then my supplements will also be covered.
Once you have tests or procedures, then it is submitted to Medicare to pay their portion, and the supplemental pays the remaining.
I hope my understanding of the process helps, but you can always call 1-844-217-9591 to speak with a Patient Account Services representative with questions about your bill, financial responsibility, cost of services, and insurance.
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