Talk of The Villages Florida - View Single Post - United Healthcare & Medicare Fraud?
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Old 05-15-2025, 11:25 AM
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Quote:
Originally Posted by mrf6969 View Post
This United Health Care problem only has to do with the Advantage plans and not their Medicare Supplement plans like F and G etc.
As I understand it, supplement plans are designed to pay the 20 percent co-insurance that original Medicare doesn't pay. They are piggy-backed to original Medicare, and they only pay after original Medicare has approved the 80 percent payment. So, in fact, supplement plans don't really approve any claims on their own. They just wait for the Government to approve a claim and then they pick up the 20 percent co-insurance. If the Government denies the claim, then the supplement plan pays nothing.

In contrast, Advantage plans are managed by private insurance companies, and they don't use supplement plans to cover any co-insurance.