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