Medicare Blog

what does the medicare suffix m mean

by Ms. Amber Schultz Published 2 years ago Updated 1 year ago
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A J3, J4, K3, or K4 suffix, meanwhile, indicates you are able to purchase Medicare Part A coverage. Code M “M” by itself indicates you are enrolled in Medicare Part B but are not eligible for Medicare Part A.

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.May 19, 2016

Full Answer

What does the suffix m mean on Medicare identification card?

“M” alone indicates you are enrolled in Medicare Part B but are not eligible for Medicare Part A coverage. To receive Part A coverage you must purchase it. 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 do Medicare suffixes mean?

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 D6 = surviving divorced wife

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 are the suffixes for Medicare?

Medicare based on chronic renal disease. These refer to Medicare Qualified Government Employment (MQGE) beneficiaries. Federal employees and their family members who meet the regular requirements for Medicare of age, disability, or end-stage renal disease, have suffixes ending with A-H,J-N,P-Z, or 2-9. TA Federal wage earner TB Living spouse

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What does suffix M mean on Medicare number?

has Part B Medicare only*M = has Part B Medicare only, no SSA benefit. *T = has A and B Medicare, no SSA benefit. W = disabled widow. WA = railroad retirement.

What do the letters after a Medicare number mean?

After the numerical sequence, there will be a letter or a letter followed by another number. These codes indicate Medicare eligibility. For example, assume you are the wife (62 years or older) of the primary claimant, and your husband's SSN is 555-55-5555. Your Medicare number would be 555-55-5555-B.

What does the B mean after the Medicare number?

“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. B2 for a young wife with a child in her care.

What is MBI format?

A Medicare MBI number contains 11 characters, which are randomly generated without underlying meaning. The MBI number is a string of numbers and upper-case letters, which will include an arbitrary combination of digits (1 through 9) and any letters in the alphabet except B, I, L, O, S, and Z.

What does M mean after a Social Security number?

Aged wife of disabled claimant, age. 62 or over. M. Uninsured – Premium Health. Insurance Benefits (Part A)

What letters are not used in Medicare numbers?

We'll use numbers 0-9 and all letters from A to Z, except for S, L, O, I, B, and Z. This will help the characters be easier to read. If you use lowercase letters, our system will convert them to uppercase letters.

What is Medicare Part C called?

A Medicare Advantage is another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are offered by Medicare-approved private companies that must follow rules set by Medicare.

What is Medicare Part C used for?

Medicare Part C covers the inpatient care typically covered by Medicare Part A. If you are a Medicare Part C subscriber and are admitted to the hospital, your Medicare Advantage plan must cover a semi-private room, general nursing care, meals, hospital supplies, and medications administered as part of inpatient care.

Can I get Medicare Part B for free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.

How do I decode my Medicare number?

How does the MBI look on the card? The MBI's 2nd, 5th, 8th, and 9th characters are always letters. Characters 1, 4, 7, 10, and 11 are always numbers. The 3rd and 6th characters are letters or numbers.

How do I find my MBI number?

Medicare Beneficiary Identifier (MBI) Lookup InquiryGo to Eligibility from the main menu, then choose the MBI Lookup Inquiry.Enter the required Beneficiary Details fields: First Name. Last Name. Date of Birth (DOB) Social Security Number (SSN) Enter the "I am not a robot" text (Only needed once for every 5 transactions)

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 do the letters mean after the Social Security number?

The letters at the end of a SSN indicate the claim number for a SSI or Social Security beneficiary. Per the SSA: "If you are an SSI beneficiary, your claim number is your nine-digit Social Security Number (SSN) (000-00-0000) followed by two letters such as EI, DI, DS, DC.

How do I check my Medicare Part B claims?

Log into (or create) your secure Medicare account. You'll usually be able to see a claim within 24 hours after Medicare processes it....It shows:All your Part A and Part B-covered services or supplies billed to Medicare during a 3-month period.What Medicare paid.The maximum amount you may owe the provider.

Who processes Medicare Part B claims?

MACsMACs are multi-state, regional contractors responsible for administering both Medicare Part A and Medicare Part B claims. MACs perform many activities including: Process Medicare FFS claims.

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.

What is the C code for Medicare?

Code C – this category applies to child Medicare benefi­ciaries. Numerical suffixes following “C” indicate the child’s relationship to the primary claimant. The youngest child gets code C1, the next youngest gets C2, and so on through C9 and then from CA to CZ.

When did Obama end Medicare cards?

President Obama signed a bill in 2015 that will end the use of these numbers on Medicare cards. Medicare has four years to start issuing cards with new identi­fiers.

What is a J and K code?

Codes J & K – these categories are for workers and spouses respec­tively who become eligible for special Medicare benefits without drawing Social Security. Varying codes apply depending on whether the worker has enough quarters of employment to earn Part A coverage or if they have to pay for it separately.

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 the number portion of a spouse's Social Security number mean?

The number portion could be your spouse’s Social Security number to indicate you qualify for benefits because of your relationship to them. The nature of your eligi­bility is then indicated by the letter code that follows.

Does Medicare card have a letter code?

Letter codes following the Social Security number on Medicare cards do not indicate the type of insurance.

Will Medicare change their claim number?

Medicare will eventually be changing their claim numbers to use something other than the claimant’s Social Security number .

What is the claim number for Medicare?

These letter codes may appear on correspondence you receive from Social Security or on your Medicare card. They will never appear on a Social Security card. For example, if the wage earner applying for benefits and your number is 123-45-6789, then your claim number is 123-45-6789 A . This number will also be used as your Medicare claim number, ...

What do the letters after a Social Security number mean?

What do the letters after a Social Security or Medicare number mean? The Social Security number followed by one of these codes is often referred to as a claim number. We assign these codes once you apply for benefits.

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