MedSupp - Part B deductible & Regular vs GI app

[J2727]

Don't do a lot of MedSupps...

1)

If a client has a Plan G or any other plan that doesn't cover the Part B deductible, do they pay the doctor/provider first up to $185 or wait until the doctor/provider bills them the $185?

2)

Let's say a client is changing MedSupps and is also in a GI situation (either a situation, or a GI state, etc.).

When changing a client, you always try to have them pass underwriting first. That way, you get the normal commission. If they don't pass, then you use the GI.

Correct?

 

[Chazm]

The doctor wouldn’t know if the Ded is paid yet.

Yes if you think they can pass underwriting get it.

 

[goillini52]

The doctor wouldn’t know if the Ded is paid yet.

Yes if you think they can pass underwriting get it.

Yes,but some companies will force it to be GI if they're GI eligible sothey don't have to pay full commissions.

 

[Chazm]

Yes,but some companies will force it to be GI if they're GI eligible sothey don't have to pay full commissions.

Wow that’s nuts. I don’t do it much, maybe twice but I was able to do it.

 

[goillini52]

Wow that’s nuts. I don’t do it much, maybe twice but I was able to do it.

Yeah, I don't do it often either and I've not had a problem, but I noticed that a few of the newer ones like Prosperity are doing that.

 

[somarco]

Doctor offices can see if you have satisfied your deductible if they have your Medicare number.

It is really a non-issue with me. I NEVER pay at time of service. Only after the claim is adjudicated and paid by Medicare.

My dermatologist is normally the first appointment of the year. They always try to collect and I always refuse.

If the claim is denied and you didn't sign an ABN form, you don't owe the doc a penny.