RETIREE (44)    TYPE OF PLAN (355.1)

Name Value
NAME RETIREE
ABBREVIATION RETIREE
MAJOR CATEGORY MAJOR MEDICAL
DESCRIPTION
Plan pays secondary to Medicare and covers co-insurance and deductibles
not paid by Medicare.
EFFECTIVE DATE
  • GROUP CODE:
    • Patient Responsibility
      REASON CODE:
      • 1
        PART A PERCENTAGE:   100
        PART B PERCENTAGE:   100
      • 2
        PART A PERCENTAGE:   100
        PART B PERCENTAGE:   100
      • 3
        PART A PERCENTAGE:   100
        PART B PERCENTAGE:   100
    • Contractual Obligations
      REASON CODE:
      • 45
        PART A PERCENTAGE:   0
        PART B PERCENTAGE:   100