FREQUENTLY ASKED QUESTIONS
Q: Are electronic payments offered for Medicare Supplement Products?
Q: What types of deductibles are available under Washington National Insurance Company Medicare Supplement plans?
We offer the following deductible options based on the insured's Medicare Supplement plan as specified on their ID card:
Q: How do I submit a claim?
BASIC BENEFITS Included in all plans:
" Hospitalization: Part A co-insurance after the 60th day of hospitalization.
After the 90th day of hospitalization, the current lifetime reserve co-payment amount will be paid until the insured uses up all of his or her 60 Lifetime Reserve Credit Days.
Once 60 Lifetime Reserve Days are used up and Medicare Benefits end, the policy will pay Medicare Part A eligible expenses for up to an additional 365 days of hospitalization.
" Medical Expenses: Part B co-insurance (20% of Medicare eligible expenses)
" Blood: First 3 pints of blood each year
" Hospice: New benefit as of 2010, by MIPPA, includes cost-sharing for all Part A Medicare eligible hospice case and respite care expenses.
These are the basic benefits and each plan may cover more expenses. Please check your individual plan for full list of policy benefits.
1. If you want claims to be submitted directly to Washington National after Medicare has paid, the following needs to be completed on your electronic submission to Medicare. 2330B loop (Other Payer Information) needs to be completed.
2. Enter on NM101: PR (payer)
3. Enter on NM102: 2 (non Person entity)
4. Enter on NM103: Washington National
5. Enter on NM108: PI (payer identification code)
6. Enter on NM109 : 55000
1. In Box 9 enter the last name, first name and middle initial of the insured if it is different from that shown in block 2.
2. 9A Enter the policy number of the insured proceeded by Medigap, MG or MGAP.
3. 9C Enter the Washington National administrative mailing address. (PO Box 1935, Carmel, IN 46082-1935)
4. 9D Enter the 5 digit Medicare ID code 55000
Our general policy for paying Medicare Claims is based on Medicare's approval of the claim. If Medicare approves the claim for payment we will consider the coinsurance due and or deductable amounts based on Medicare's approved amounts. (Percentages may vary based on the plan.) If you are seeking pre-approval on a medical visit or procedure, please contact Medicare.
No. For a policyholder to enter the hospital, they do not need to contact Bankers for pre-certification. However to guarantee the visit or procedure will be approved by Medicare, please contact Medicare.
For Medicare Supplement: Send a copy of Medicare's Explanation of Benefits to:
Policy Benefits Dept.
PO Box 1935
Carmel, IN 46082-1935
If you no longer wish to have access to policy and claim information through the Healthcare Provider Services site, please contact our Customer Service Center to delete your online account.