MEDICARE SECONDARY (B EXC) (76)    TYPE OF PLAN (355.1)

Name Value
NAME MEDICARE SECONDARY (B EXC)
ABBREVIATION MED SEC+B
MAJOR CATEGORY MAJOR MEDICAL
DESCRIPTION
This is a plan for a group of retirees, purchased separately after they 
become Medicare eligible.  All members in this plan are retired and  
Medicare eligible and the benefits are not supplemental to Medicare.  
This plan includes Part B excess charges.
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