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Medicare Crossover program
  • The Plan offers a Medicare Crossover program for Medicare Part A and Part B and Durable Medical Equipment (DME) claims. Under this program, you no longer have to file a separate claim with the Plan to receive secondary benefits for these expenses. Your eligible dependent will also have this automated crossover, as long as he or she is eligible for Medicare and this Plan is your only secondary medical coverage.
  • Once the Medicare Part A, Part B and DME carrier have reimbursed your health care provider, the Medicare carrier will electronically submit the necessary information to the claims administrator to process the balance of your claim under the provisions of this Plan.
  • You can verify that the automated crossover took place when your copy of the explanation of Medicare benefits (EOMB) states your claim has been forwarded to your secondary carrier.
  • This crossover process does not apply to expenses that Medicare does not cover. You must go on to file claims for these expenses.
  • For information about enrollment or if you have questions about the program, call the telephone number listed on the back of your ID card.