Medicare - Coordination of Benefits Customer FAQ

Top Answers & How-to Guides

How do I Contact Medicare - Coordination of Benefits Customer Service?

The question we are asked most often is about how to talk to Medicare - Coordination of Benefits customer service. Click here for contact information, email and chat options, getting a live person, wait times and more.

Can I have coordination of benefits if I have Medicare Advantage or a Medigap policy?

Yes, you can have coordination of benefits if you have Medicare Advantage or a Medigap policy. Coordination of benefits helps ensure...
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Recent Medicare - Coordination of Benefits Customer Questions

Do I need preapproval from medicare for MRI of abdomen with/without contrast and MRCP?

Typically, Medicare Part B does cover MRI scans when they are deemed to be medically necessary by your doctor. However, your provider may need to get prior authorization from Medicare before you undergo the procedure. This is to ensure that Medicare agrees to cover the scan. It's always best to check with your doctor and Medicare directly to know if prior approval is required for your specific case.
Asked Apr 16, 2024 7:42 PM

Why didn't medicare pay for a blood test for prothrombin time that my doctor ordered.

Medicare usually covers medically necessary services that meet their criteria. If your blood test for prothrombin time was not covered, it could be due to several reasons. Your doctor might not have indicated that the test was medically necessary, or there might have been coordination of benefits issue if you have other insurances. In the latter case, Medicare may not be the primary payer. It's also possible that you've exhausted your benefit limit. Double check these factors to ascertain why the service was not covered.
Asked Mar 26, 2024 6:34 PM

Help me with my Medicare - Coordination of Benefits customer service issue

Explanation of COB

What is coordination of benefits?

Coordination of benefits refers to the process by which Medicare coordinates payment of healthcare claims when an individual has additional...

Functionality of COB

How does coordination of benefits work?

Coordination of benefits is a process used to ensure that the total healthcare expenses of individuals with multiple insurance coverage...

Eligibility for COB

Who is eligible for coordination of benefits?

Coordination of benefits is available to individuals who have Medicare coverage and have additional health insurance coverage from...

Types of Insurance

What types of insurance can coordinate benefits with Medicare?

Several types of insurance can coordinate benefits with Medicare. These include employer group health plans, retiree health plans,...

Informing Medicare

Do I need to inform Medicare about my other insurance coverage?

Yes, it is important to inform Medicare about any other insurance coverage you have. Medicare requires this information in order to...

Primary Coverage

What is primary insurance coverage?

Primary insurance coverage refers to the health insurance plan that has the primary responsibility for paying medical claims before...

Secondary Coverage

What is secondary insurance coverage?

Secondary insurance coverage refers to a type of health insurance that complements and enhances primary insurance coverage. For individuals...

Determining Primary vs Secondary

How does Medicare determine which insurance is primary and which is secondary?

Medicare determines the primary and secondary insurance status based on certain rules. Generally, if an individual has both Medicare...

Denial of Coverage

What happens if my other insurance denies coverage for a service that Medicare covers?

If your other insurance denies coverage for a service that Medicare covers, Medicare may still pay for the service as long as it is...

Changing Coverage

Can I change my primary and secondary insurance coverage?

Yes, you can change your primary and secondary insurance coverage. However, there are certain guidelines you must follow. If you have...

COB with Advantage/Medigap

Can I have coordination of benefits if I have Medicare Advantage or a Medigap policy?

Yes, you can have coordination of benefits if you have Medicare Advantage or a Medigap policy. Coordination of benefits helps ensure...
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