How Are Medicare Claims Processed?

The way Medicare Claims are processed depends on the type of Medicare Service. In this post we will consider four Medicare Services: Original Medicare (Part A and B), the Medicare Advantage Plan (MA), the Part D Prescription Drug Plan, and Medicare Supplement (Medigap) Plan. Keep in mind that these are not exclusive and several options may coexist (e.g., Original Medicare, Part D, and Medigap).

To learn how Medicare claims are reported, read How Medicare Claims Are Reported – the Medicare Summary Notice (MSN).

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Medicare Advantage Disenrollment Period (MADP)

Medicare Advantage Disenrollment Period (MADP)

UPDATED Feb. 6, 2019. From the year 2019, Medicare Advantage Disenrollment Period (MADP) has been replaced by Medicare Advantage Open Enrollment Period (MA OEP).

If you are dissatisfied with your Medicare Advantage plan, you may disenroll from it starting on the 1st of January during the Medicare Advantage Disenrollment Period (MADP). You may also consider enrolling in the Medicare Supplement plan (Medigap plan).

Medicare Advantage Disenrollment Period (MADP)

The Medicare Advantage Disenrollment Period (MADP), which runs annually from the 1st of January through the 14th of February, allows you only to disenroll from the Medicare Advantage Plan.

During this period, you can do the following:

  • If you’re in a Medicare Advantage plan, you can leave your plan and switch to Original Medicare. Your Medicare Advantage plan may or may not include Part D drug coverage (MA or MAPD, correspondingly). The effective date of disenrollment is the first of the month following the acceptance of the disenrollment request. Read more…