Title: Who pays in what order if I have Medicare "Part A" and "Part B" and "Part G" and "FEP Blue Focus"
An AI Overview: "...In your situation, where you have Original Medicare (Parts A and B), a Medicare Supplement Plan G (Medigap Plan G), and FEP Blue Focus (Federal Employee Program), the coordination of benefits would typically work as follows:
Medicare Part A and Part B (Original Medicare): Medicare, specifically Parts A and B, is typically considered your primary coverage when you are retired. This means that when you receive covered healthcare services, your doctor will first submit the claim to Medicare. Medicare will then pay its approved amount for the service.
Medicare Supplement Plan G (Medigap Plan G): After Medicare pays its share, Medigap Plan G will step in as the secondary payer. Medigap plans are designed to help cover some of the out-of-pocket costs left by Original Medicare, such as coinsurance, copayments, and deductibles. Plan G is a popular Medigap plan that covers everything that Medicare Part A and B cover at 100%, except for the Part B deductible.
FEP Blue Focus: FEP Blue Focus would typically be the tertiary payer, meaning it pays third after Medicare and your Medigap Plan G have paid their portions. FEP Blue Focus coordinates with Medicare and can offer additional benefits not covered by Medicare alone.
Simplified Order of Payment:
Medicare Part A and Part B
Medicare Supplement Plan G
FEP Blue Focus
Important Considerations:
Active vs. Retired: The primary payer might differ depending on whether you are an active federal employee or retired. If you are still working, FEP is typically your primary coverage, but when you retire, Medicare generally becomes primary.
Show both ID cards: Always present both your Medicare and FEP member ID cards to your healthcare provider to ensure that your claims are processed correctly.
By coordinating benefits between Medicare, your Medigap Plan G, and FEP Blue Focus, you can maximize your coverage and minimize your out-of-pocket costs. ..."