My wife (I have full authorization filed for disclosure) is 69 and coverage by traditional Medicare (A and B) and also has group health insurance under a group of less than 20 employees.
***Thus Medicare pays first.
She had an accident and fractured her teeth requiring implant and new porcelain/ceramic pontics.
***Thus Medicare would pay for an accident, but not routine dental.
Claims were submitted to BCBS of Florida who says we should have first submitted the claim to Medicare.
***That’s correct, as Medicare pays first, then your group plan picks up the rest.
I have already paid directly for the services.
We reside in Florida and there were two D.M.D.’s (Doctor of Dental Medicine – same as DDS) involved in providing the services.
What do you recommend?
***I suggest that you just send the bill to Medicare. Then resend to your group plan, once Medicare has paid.
If you want to double check, try calling the:
Benefits Coordination & Recovery Center (BCRC)—The company that acts on behalf of Medicare to collect and manage information on other types of insurance or coverage that a person with Medicare may have, and determine whether the coverage pays before or after Medicare. This company also acts on behalf of Medicare to obtain repayment when Medicare makes a conditional payment, and the other payer is determined to be primary
(Also, when we look at my wife’s profile online
***Do you mean her Medicare profile? www.MyMedicare.Gov?
it doesn’t list the supplemental carrier at all. How to we correct that?
***Send me your password privately and I’ll figure it out. Medicare also has a customer service and live chat on the website. They should be able to help you.