I'm posting this from an information standpoint for others.
I have had traditional Medicare plus a UHC Medigap policy for close to two years. No real problems, but thought I would point out the "glitch" possibility with how the two work together through the Medicare "auto-crossover" system. That system has Medicare pay first and then they forward the balance automatically to your Medigap plan to pay. It is pretty slick.
I have had three occasions where this didn't work. The most recent involved a hospital bill. Medicare paid, but I never saw the balance of the claim show up at UHC and the provider was going to bill me. I called UHC and they had never received the claim. I called Medicare and eventually got to a claim specialist who confirmed that the "system" had not forwarded the claim to UHC. It was a "glitch". When I asked if this was rare, she said no, she deals with them every week. They don't really know what causes them. Also, there is nothing they can do about it if it doesn't automatically happen. They offer to snail mail you the EOB which you can then somehow send to UHC with an explanation...
I also had physical therapy two years ago. A dozen claims and none auto-crossed over. Pursuing with Medicare, the code used by the provider prevented auto-crossover from working. I had the PT provider bill UHC separately and they paid. Last year my wife also had PT at the same provider. Same problem which took me intervening numerous times to straighten out. What is really bothering is that neither Medicare nor the PT provider figured out what the code problem was.
It has always been Medicare's suggestion to snail mail me EOB's and have me submit to UHC. Not good and not the way to handle these situations. You need to go back to the providers, explain what happened, and have THEM submit the claims to UHC. They have all of the required Medicare claim info and can do it electronically in just a few minutes.
I have had traditional Medicare plus a UHC Medigap policy for close to two years. No real problems, but thought I would point out the "glitch" possibility with how the two work together through the Medicare "auto-crossover" system. That system has Medicare pay first and then they forward the balance automatically to your Medigap plan to pay. It is pretty slick.
I have had three occasions where this didn't work. The most recent involved a hospital bill. Medicare paid, but I never saw the balance of the claim show up at UHC and the provider was going to bill me. I called UHC and they had never received the claim. I called Medicare and eventually got to a claim specialist who confirmed that the "system" had not forwarded the claim to UHC. It was a "glitch". When I asked if this was rare, she said no, she deals with them every week. They don't really know what causes them. Also, there is nothing they can do about it if it doesn't automatically happen. They offer to snail mail you the EOB which you can then somehow send to UHC with an explanation...
I also had physical therapy two years ago. A dozen claims and none auto-crossed over. Pursuing with Medicare, the code used by the provider prevented auto-crossover from working. I had the PT provider bill UHC separately and they paid. Last year my wife also had PT at the same provider. Same problem which took me intervening numerous times to straighten out. What is really bothering is that neither Medicare nor the PT provider figured out what the code problem was.
It has always been Medicare's suggestion to snail mail me EOB's and have me submit to UHC. Not good and not the way to handle these situations. You need to go back to the providers, explain what happened, and have THEM submit the claims to UHC. They have all of the required Medicare claim info and can do it electronically in just a few minutes.