Why should clinics encourage patients to work and/or keep their EGHP coverage?
There are a number of benefits to clinics if patients keep their EGHP coverage including: • Commercial payers typically pay more for services than Medicare does. This allows clinics to provide better equipment and more innovative treatments and services than they could provide if all patients had Medicare as their primary payer. • The Medicare composite rate requires that clinics bill a set amount for a certain bundle of services. A clinic can bill the EGHP for all services provided on all dates of service, and the EGHP will determine the amount it will pay. • Medicare does not cover everything that EGHP plans cover. For instance, an EGHP may cover more dialysis treatments than Medicare covers. (This can be important for daily or nocturnal hemodialysis programs.) Do not assume that an EGHP has the same limits that Medicare imposes. • There are still many questions about how the new Medicare Part D plan (prescription drug coverage that starts in 2006) will pay for drugs Medicare has bee
Related Questions
- How are patients seeking help from the Universitys health clinics, including Campus Health Services, the Employee Occupational Health Clinic and UNC Hospitals, being evaluated and treated?
- What is the coverage for behavior management for pediatric patients?
- Why should patients take Medicare if they have EGHP coverage?
