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what do the medicare suffixes mean

by Meaghan Ratke Published 2 years ago Updated 1 year ago
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Medicare Suffixes Here’s what the letters behind the Medicare number mean: *A = retired worker B = wife of retired worker B1 = husband of retired worker B6 = divorced wife B9 = divorced second wife C = child of retired or deceased worker; numbers after C denote order of children claiming benefit D = widow D1 = widower

F1 = aged dependent father. F2 = aged dependent mother. *HA = disabled worker. HB = wife of disabled worker. HC = child of disabled worker.

Full Answer

What does Medicare suffix mean?

Medicare entitlement under Code J or Code K depends on your work history, and specifically on the number of quarters of employment that have been reported to Social Security. A suffix of JI, J2, K1, or K2 indicates you are entitled to Medicare Part A. A J3, J4, K3, or K4 suffix, meanwhile, indicates you are able to purchase Medicare Part A coverage.

What does the suffix on a Medicare number mean?

The suffixes on a Medicare number are codes that tell Medicare under whose Social Security number you are being given benefits,and your relationship to that person. It is called the Beneficiary Identification Code (BIC). A Social Security number followed by A tells Medicare that the person filing is the retired or disabled worker who paid into ...

What does the letter M mean on a Medicare card?

Other Medicare suffixes in the “W” category include:

  • WI for a primary claimant’s disabled widower
  • W2 for a second widow
  • W3 for a second widower
  • W6 for a surviving disabled second wife
  • W7 for a second disabled surviving second wife

What is the suffix for medical?

SUFFIXES. A suffix is always added at the end of a word to complete that term. In medical terminology, suffixes usually, but not always, indicate a procedure, condition, disorder, or disease. A combining vowel is used when the suffix begins with a consonant.

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What does an M mean at the end of a Medicare number?

Code M – is used for someone who is enrolled in Medicare Part B but is not yet eligible for Medicare Part A coverage. M1 indicates you are enrolled in Part B and are also eligible for coverage under Medicare Part A but have refused Part A coverage.

What does the B mean after the Medicare number?

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: B1 for the husband (62 years or older) of a primary claimant.

What does C1 mean after Medicare number?

ChildWhat Do The Letters After A Social Security Or Medicare Number Mean?CodeIdentificationC1-C9Child – Includes minor, student or disabled childDAged Widow, age 60 or overD1Aged widower, age 60 or overD2Aged widow (2nd claimant)30 more rows•Jul 10, 2010

What is Part A and Part B Medicare?

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. Home health care.

What does the suffix 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.

What is the HA code on my Medicare card?

If your Medicare number includes the HA code, your Social Security appears in your Medicare number. If your Medicare number includes the HB or HC code, your disabled spouse’s or parent’s Social Security number represents the first nine digits of your Medicare number.

How many digits should be in a Medicare claim?

The first nine digits of a Medicare Claim Number should match the nine digits of the cardholder’s Social Security Number or, often, the nine digits of the cardholder’s spouse’s, parent’s, or child’s Social Security Number. Whether the nine digits of your Medicare number match your Social Security Number or another person’s Social Security Number ...

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 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, ...

How to contact Medicare for letter code?

For further information about Medicare letter codes and other Medicare symbols, you can contact the Medicare Administration toll-free at 1-800-MEDICARE (1-800-633-4277). For information about Medicare supplement insurance, Medicare Advantage, and all your best healthcare options, contact MedicareMall today! © 2013 MedicareMall.com.

Medicare ID numbers Suffixes and Prefixes

Most medicare identification numbers you will see end in A. This means that that person has medicare under their own social security number. However there are other ways a person can have medicare and those are reflected in the letter after the social security number on the medicare card.

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With an extensive 20 years of experience in all aspects of the insurance billing field and a vast knowledge of both hospital and private practice medical billing; Suzanne hopes to help others navigate the health insurance maze.

What do the letters on my Medicare card mean?

What do the letters on your Medicare card mean? The Medicare number displayed on Medicare cards (known as an MBI, or Medicare Beneficiary Identifier) is 11 characters long: The 2nd, 5th, 8th and 9th characters are always a letter, and the 3rd and 6th characters are sometimes a letter. All other characters will be numbers, and the letters S, L, O, ...

What is Medicare Supplement Insurance?

Medicare Supplement Insurance, also called Medigap, uses a letter system to identify its plans. Medicare Supplement Insurance is used in conjunction with Part A and Part B of Medicare to provide coverage for certain out-of-pocket expenses like some Medicare deductibles and coinsurance.

What is Medicare Part B?

Medicare Part B is medical insurance and provides coverage for outpatient doctor’s appointments and medical devices. Medicare Part C, also known as Medicare Advantage, provides coverage for everything found in Part A and Part B through one plan provided by a private insurer.

Does Medicare cover dental insurance?

Many Medicare Advantage plans may also cover additional benefits not covered by Part A and Part B, such as prescription drugs, dental, vision, hearing, wellness programs like SilverSneakers and more. Medicare Part D provides coverage exclusively for prescription drugs.

What is a 9 digit HICN?

All HICNs issued by SSA are 9-digit numbers with at least one letter suffix (called a beneficiary identification code or BIC) in the tenth position. If there is an eleventh position, it may be either a letter or number e.g. 123-45-6789A or 987-65-4321D4. The HICN issued by the RRB, may contain either 6 or 9 digit numbers with up to a 3-position letter prefix e.g., A123456 or MA123-45-6789. If a beneficiary’s entitlement changes, it is possible for the 9-digit number, the prefix, the suffix or all three to change. It is also possible to go from an SSA issued HICN to a RRB HICN or vise versa. The numeric portion of a 9-digit HICN consists of a Social Security Number (SSN). If the BIC is A, T, TA, M, M1, J1, J2, J3, J4 or the RRB prefix is A or H the number is the beneficiary’s own SSN. If the BIC or RRB prefix is other than one of the above, the SSN belongs to a number holder and the beneficiary is entitled as an auxiliary or survivor on that SSN.

Do husband and wife have the same Social Security number?

A husband and wife may have a HIC number that share the same Social Security numerics. However, every individual has their own alpha suffix at the end of the HIC number. In order to ensure proper claim payment, it is essential that the correct alpha suffix is appended to each HIC. No hyphens or dashes should be used.

What is the suffix C in Medicare?

“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. If you are the first child, your suffix is C1; if you are the second child, your suffix is C2; if you are the third child, your suffix is C3; and so on. In all, numerical suffixes following C go all the way to number 9, depending on the order of birth of siblings. If your suffix code is anything in the “C” category, your primary claimant parent’s Social Security Number, and not your own, will constitute the first nine numbers of your Medicare Claim Number.

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.

What does E mean in Social Security?

“E” alone 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. “E” may be a particularly complicated category given these convoluted variations. In all cases, the primary claimant’s Social Security Number will constitute the first nine digits of a Code “E” claimant’s Medicare number.

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