Medicare Blog

what are all the letters in medicare insurance mean

by Dr. Dannie Wolf Published 2 years ago Updated 1 year ago
image

The nine numerals in your Medicare number identify the Social Security record serving as the basis of Medicare. The letter or letters following that number describe the relationship between the person with that record and the person whose name is on the card.

There are four parts of Medicare: Part A, Part B, Part C, and Part D. Part A provides inpatient/hospital coverage. Part B provides outpatient/medical coverage. Part C offers an alternate way to receive your Medicare benefits (see below for more information). Part D provides prescription drug coverage.

Full Answer

What is a Medicare letter?

Nov 17, 2021 · What the letters mean for the parts of Medicare Medicare Part A is hospital insurance and provides coverage for inpatient stays at hospitals and skilled nursing care... Medicare Part B is medical insurance and provides coverage for outpatient doctor’s appointments and medical devices. Medicare Part ...

What do those extra letters on your Medicare card mean?

Nov 12, 2013 · Medicare Part D, also known as “PDPs” are stand-alone prescription drug plans that are approved by Medicare and offered by a private insurance company. Each Part D plan will have its own list of drugs that are covered. This is known as a formulary. Anyone enrolled in either Medicare Part A or Medicare Part B is eligible to enroll in a ...

What are the suffixes for Medicare?

These are some of the Medicare Supplement Benefit Plan Letters that may possibly be available. Plans A, B, C, (High Deductible Plan C), D, F, (High Deductible F), G, K, L, M, N. However, not all plans may be available in your state and not all plans are offered by every insurance company. Related Blog Posts:

How to properly compose Medicare appeal letter and its sample?

Following are descriptions of what the primary letter codes in all Medicare Claim Numbers indicate. Code A “A” at the end of your Medicare number indicates you are a retired wage earner and primary claimant. The numerical part of your Medicare number matches your Social Security Number. Code B

image

What do the letters mean on your Medicare card?

HB = wife of disabled worker. HC = child of disabled worker. *J1 = special “over 72” benefit, has A and B. K1 = wife of “over 72” benefit, has A and B. *M = has Part B Medicare only, no SSA benefit.

What are the letters of Medicare supplement plans?

Each of the 10 plans is denoted by a letter, and the currently available plans are A, B, C, D, F, G, K, L, M, and N. These plans are provided through private insurance companies, but plan type with the same letter must offer the same set of basic benefits regardless of location.

What are the letters after the Medicare number?

“A” identifies the primary claimant (wage earner) who has qualified for the benefits. “B” identifies a wife, age 62 or over, whose benefits are related to her husband's record. Adding a 1 (B1) identifies a husband receiving benefits based on the wife's record. “D” is a widow and "D1" is a widower, aged 60 or over.Jun 25, 2018

What does Medicare Part C and D refer to?

Medicare Part D is Medicare's prescription drug coverage that's offered to help with the cost of medication. Medicare Part C (Medicare Advantage) is a health plan option that's similar to one you'd purchase from an employer. Most Medicare Advantage plans include Medicare Part D coverage.

What is difference between Plan G and N?

Plan G and Plan N premiums are lower to reflect that. Plan G will typically have higher premiums than Plan N because it includes more coverage. But it could save you money because out-of-pocket costs with Plan N may equal or exceed the premium difference with Plan G, depending on your specific medical needs.

What is the difference between F and G Medicare plans?

Medigap Plan G is currently outselling most other Medigap plans because it offers the same broad coverage as Plan F except for the Part B deductible, which is $233 in 2022. The only difference when you compare Medicare Supplements Plan F and Plan G is that deductible. Otherwise, they function just the same.Feb 18, 2021

Do Medicare numbers have letters?

MBIs are numbers and upper-case letters. We use numbers 1-9 and all letters from A to Z, except for S, L, O, I, B, and Z. If you use lowercase letters, our system will convert them to uppercase letters.

How many digits are in a Medicare number?

The MBI has 11 characters, like the Health Insurance Claim Number (HICN), which can have up to 11. Will the MBI's characters have any meaning? Each MBI is randomly generated.

How do you read a Medicare number?

The IRN appears to the left of the patient's name on their Medicare card. This is not a unique identifier. While your Individual Reference Number is the number to the left of your name on your card, your Medicare Card Number is the 10 digit number that appears above your name, across the top section of the card.

What are the 4 types of Medicare?

There are four parts of Medicare: Part A, Part B, Part C, and Part D.
  • Part A provides inpatient/hospital coverage.
  • Part B provides outpatient/medical coverage.
  • Part C offers an alternate way to receive your Medicare benefits (see below for more information).
  • Part D provides prescription drug coverage.

What are Medicare Parts A & B?

Part A (Hospital Insurance): Helps cover inpatient care in hospitals, skilled nursing facility care, hospice care, and home health care. Part B (Medical Insurance): Helps cover: Services from doctors and other health care providers. Outpatient care.

What are Medicare Parts A and B sometimes called?

Part A (hospital coverage) covers things like inpatient hospital stays, home health care and some skilled nursing facility care. Together, Medicare Parts A and B are called Original Medicare.

Medicare Part A

Medicare Part A is hospital insurance and it generally covers inpatient care in hospitals, including critical access hospitals, and skilled nursing facilities (not custodial or long-term care). It also helps cover hospice care and some home health care (certain conditions must be met to get these benefits).

Medicare Part B

Medicare Part B is medical insurance that generally covers doctors’ services and outpatient care. It also covers some other medical services that Part A doesn’t cover, such as some of the services of physical and occupational therapists, and some home health care.

Medicare Part C

Medicare Advantage Plans, also known as Part C, is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits and may offer extra benefits that Original Medicare does not cover, such as vision or dental services.

Medicare Part D Prescription Drug Plans

Medicare Part D, also known as “PDPs” are stand-alone prescription drug plans that are approved by Medicare and offered by a private insurance company. Each Part D plan will have its own list of drugs that are covered. This is known as a formulary.

What does the letter A mean on Medicare?

Besides the letter A, which indicates you are a primary claimant who has paid into the Medicare system as a wage earner, there are 33 other common codes that appear at the end of Medicare Claim Numbers to identify the nature of eligibility.

What does the A on Medicare number mean?

“A” at the end of your Medicare number indicates you are a retired wage earner and primary claimant. The numerical part of your Medicare number matches your Social Security Number.

Where is the Medicare claim number located?

Some Medicare recipients, however, are confused about letter coding appearing at the end of a Medicare number, or Medicare Claim Number, which is located on the front of every Medicare card right under the name of the beneficiary. Most people will recognize the numerical part of their Medicare number immediately.

What is the B code for Medicare?

Code B. “B” by itself means you are the wife of the primary claimant, and are at least 62 years old. Other Medicare suffixes in the “B” category include: If your suffix code is one of the above or any other code in the “B” category, your spouse’s or ex-spouse’s Social Security Number, and not your own, represents the first nine numbers ...

What does C mean in a claim?

Code C. “C” indicates you are the child of a primary claimant. Numerical suffixes following “C” indicate which child you are in relation to the primary claimant. For example, if you are the first child, your suffix is C1; if you are the second child, your suffix is C2; and so on. If your suffix code is in the “C” category, ...

What does the suffix "E" mean in a divorce?

“E” by itself indicates you are the widowed mother of a primary claimant. Other suffixes in the “E” category include E1 for the surviving divorced mother of a primary claimant; E2 for the second widowed mother of a primary claimant ; E3 for the second divorced mother of the primary claimant; E4 for the primary claimant’s widowed father; and E5 for the primary claimant’s surviving divorced father.

What is the suffix for "F"?

Code F. “F” is the parent category, with suffixes for a primary claimant’s father (F1), mother (F2), stepfather (F3), stepmother (F4), adoptive father (F5), and adoptive mother (F6). There is no “F” suffix without a number following the letter F.

What is Medicare number?

Your Medicare number (also called Medicare Claim Number) is usually your Social Security number followed by a code. The code may only appear on your Medicare card but it is assigned by the Social Security Admin­is­tration to identify the category you qualify under to claim benefits. The number portion could be your spouse’s Social Security number ...

What is the suffix for Medicare?

Clients often ask us about the meaning of the letter suffix on their Medicare card. Your Medicare number (also called Medicare Claim Number) is usually your Social Security number followed by a code. The code may only appear on your Medicare card but it is assigned by the Social Security Admin­is­tration to identify the category you qualify ...

What is a W1 card?

W is for widows and W1 is for widowers, while those who’ve been previ­ously married may have different W‑category codes. Most retiree’s Medicare cards currently begin with their Social Security number, which is the most valuable piece of infor­mation for an identity thief.

What does "A" mean in Medicare?

“A” means you are a retired wage earner and the primary claimant. Typically, you paid into the Medicare system during your working years over a period of at least 40 quarters.

What is the suffix for a parent?

“F” is the parent category, with suffixes for a primary claimant’s father (F1), mother (F2), stepfather (F3), stepmother (F4), adoptive father (F5), and adoptive mother (F6). There is no “F” suffix without a number following it. The primary claimant child’s Social Security Number will constitute the first nine digits of a Code “F” claimant’s Medicare number.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9