> Indemnity Indemnity plans are also referred to as “fee-for-service.” Unlike managed-care plans, indemnity plans allow absolute freedom in selecting physicians or medical facilities and permit self-referral to a specialist.
> Basic Hospital Basic-hospital plans cover only in-hospital (inpatient) care, not other services. This benefit also may be limited to an approved or network facility. Hospitalization in a different facility may qualify for less coverage or none at all.
When you have a Medigap policy, the insurance company must pay your doctor or provider directly when:
Your doctor or provider has signed an agreement with Medicare to accept assignment of all Medicare claims for all their Medicare patients, and
You tell your doctor's office to put on the Medicare claim form that you want Medigap insurance benefits paid to the doctor or supplier. Your doctor should put your Medigap policy number and the company name on the Medicare claim form. You will need to sign the claim form or have your doctor keep your signature on record. Make sure this information is correct.
When these conditions are met, the Medicare carrier will process the claim and send it to the Medigap insurance company. A Medicare carrier is a private company that has a contract with Medicare to pay Part B bills. The carrier will send you a Medicare Summary Notice. Your Medigap insurance company will pay your doctor or provider directly and then send you a notice. If you don't get this notice, you may ask your Medigap insurance company for it.
In most cases, Medicare claims are sent directly to the insurance company, even if the doctor doesn't accept assignment on all claims.
If you live in the following cities and need an Insurance Advisor or to get a
quote, you should contact our Louisiana Insurance Advisors today:
Abbeville
Alexandria
Baker
Bastrop
Baton Rouge
Bogalusa
Bossier City
Breaux Bridge
Chalmette
Covington
Crowley
Denham Springs
Deridder
Gonzales
Gretna
Hammond
Harvey
Houma
Kenner
La Place
Lafayette
Lake Charles
Leesville
Mandeville
Marrero
Metairie
Monroe
Morgan City
Natchitoches
New Iberia
New Orleans
Opelousas
Pineville
Prairieville
Ruston
Shreveport
Slidell
Sulphur
Thibodaux
Ville Platte
West Monroe
Westwego
Zachary
Did You Know?
There are several areas of risk that you should consider if you operate a business in your home.
These include: Business-related personal property coverage (computers, furniture, etc.) Inventory Off-premises coverage for business-related personal property Business property of others accounts receivable (up to a specified limit) Liability coverage may include personal injury, products and completed operations, incidental contractual liability, and general commercial liability. Electronic data processing coverage Valuable papers Business interruption and extra expense
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general information related to insurance issues commonly encountered.
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