2010 Supplement Change Question.

[motorcyclegogo]

6/2010 when G's excess charge coverage goes to 100% will the existing G's get the new benefit or will they have to be re-written to get it?

Asking this for a possible new client that I'm getting off a F and taking to G, but she's worried that the excess charge will not be retro to the old policies.

Thanks

 

[dhecker]

Changes will not be retroactive. Policies will remain as written.

 

[GreenSky]

You need to do the math on this. First of all, over 99% of all physicians accept assignment. So if she find the 1 in 100 that does not, here's how it breaks down.

Assume a $1,000 claim that Medicare Approves. There will be a grand total of $92.50 if the doctor does not accept assignment left over for someone to pay.

Plan F pays the entire $92.50. Plan G pays 80% of it for a total of $74, leaving her with $18.50 remaining.

If anyone insists it really 15% of the total allowable (which it's not), the number are $150 left which Plan G pays $120 and she's left with $30.

Any of this worth the extra premium even it was a $10,000 bill?

Rick

 

[motorcyclegogo]

I fully understand the plans and the rules and remote possiblity of a person even getting into that situation. Just a question I didn't have an answer to at hand.

 

[MedSuppPro]

Just a little housecleaning:

I've researched the number of doctor who accept assignment and have yet to find a current % of providers.

The 1% number quoted by several FORUM members applies to ALL CLAIMS filed in 2006. So this doesn't represent the % of doctors. And depending on your client's needs this number could be 100% -- i.e. the Rochester Mayo Clinic!

 

[jacobtn]

Just sell em plan F.

 

[sman]

You need to do the math on this. First of all, over 99% of all physicians accept assignment.

I've seen this number thrown around a lot. Does anyone have a source to reference for this?