Type of Medigap (supplemental) health insurance policy that may require a member to use hospitals and, in some cases, doctors within its network to be eligible for full benefits. Emergency care may be sought outside the preferred provider network.
Insurance Encyclopedia
Medicare select policy (Health Insurance)
A supplement policy or certificate issued by Medicare that only pays benefits to certain providers that are in the network.
Medicare Summary Notice (MSN)
Document received by the patient explaining amount charged, Medicare approval, deductible, and coinsurance for medical services rendered. See also remittance advice, Explanation of Medicare Benefits (EOMB) , and Medicare Benefits Notice (MBN) .
Medicare supplement (Medsupp) policy
See: Medigap (MG) policy .
Medicare Supplement Insurance
Insurance coverage sold on an individual or group basis which helps to fill the gaps in the protection provided by the Medicare Program. Medicare supplements cannot duplicate any benefits provided by Medicare, but may part or all of Medicare’ deductibles and co-payments, and may cover some services and expenses not covered by Medicare.
Medicare supplement insurance (Health Insurance)
Insurance that supplements the coverage provided by Medicare. These supplements sometimes pay the insured’s deductibles or co-payments, but cannot duplicate the benefits provided to the insured by Medicare.
Medicare transmittals
Informative messages issued by the Centers for Medicare and Medicaid Services (CMS) to update program policies and procedures; formerly called Medicare program memorandums .
Medicare trust funds
Treasury accounts established by the Social Security Act for the receipt of revenues, maintenance of reserves, and disbursement of payments for the health insurance and supplemental medical insurance programs.
Medicare UPIN numbers
See: national provider identifier (NPI) .
Medicare Volume Performance Standard (MVPS)
Percentage figure that represents an acceptable rate of increase in physicians’ Medicare reimbursement for 1 year. MVPS is based on inflation, mix, and age of Medicare population, technological changes, improper utilization, and inadequate access to care. The Department of Health and Human Services uses a formula to establish the annual Medicare Part B increase in physicians’ payments.