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Do the clean claim rules under SB 418 apply to Medicare supplement or Medicare Select plans?

April 26, 2017claim clean medicare plans rules SB select supplement

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Do the clean claim rules under SB 418 apply to Medicare supplement or Medicare Select plans?

1 Answer

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They do not. Medicare supplement plans do not use a provider network. While Medicare Select plans do use a provider network, there is no out-of-network benefit so they do not meet the definition of a Preferred Provider Benefit Plan.