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I am inquiring if medicare is primary and the patient has medicare supp as secondary, and it follows medicare guidelines, is the medicare authorization used for the supplement coverage too, or does a separate auth have to be obtained?
A Medicare Supplement policy will always cover anything Medicare covers. If Medicare approved the service or procedure and required a prior authorization form, the Medigap plan will NOT require an additional prior authorization form. Hope I was able to help, thanks for watching the video!
Great question! If the purpose of the MRI is to treat a medical issue, and all providers involved accept Medicare assignment, Part B would cover the inpatient procedure. An Advantage beneficiary might need prior authorization to visit a specialist, such as a radiologist. If you are not sure, call our hotline for more detailed information!