> Exclusive Provider Organization (EPO) EPOs allow subscribers to visit any physician within the contracted network without prior approval or referrals. Services received outside the network may not be covered.
> Automobile If you own and operate commercial vehicles, you should make sure that your fleet is appropriately insured. If business use of a vehicle is minimal and limited to your personal vehicle, the necessary coverage can probably be included in your personal policy. Best bet: Check with your agent to be sure.
> Indemnity Indemnity plans are also referred to as “fee-for-service.” Unlike managed-care plans, indemnity plans allow absolute freedom in selecting physicians or medical facilities and permit self-referral to a specialist.
When you have a Medigap policy, the insurance company must pay your doctor or provider directly when:
Your doctor or provider has signed an agreement with Medicare to accept assignment of all Medicare claims for all their Medicare patients, and
You tell your doctor's office to put on the Medicare claim form that you want Medigap insurance benefits paid to the doctor or supplier. Your doctor should put your Medigap policy number and the company name on the Medicare claim form. You will need to sign the claim form or have your doctor keep your signature on record. Make sure this information is correct.
When these conditions are met, the Medicare carrier will process the claim and send it to the Medigap insurance company. A Medicare carrier is a private company that has a contract with Medicare to pay Part B bills. The carrier will send you a Medicare Summary Notice. Your Medigap insurance company will pay your doctor or provider directly and then send you a notice. If you don't get this notice, you may ask your Medigap insurance company for it.
In most cases, Medicare claims are sent directly to the insurance company, even if the doctor doesn't accept assignment on all claims.
If you live in the following cities and need an Insurance Advisor or to get a
quote, you should contact our Tennessee Insurance Advisors today:
Antioch
Brentwood
Bristol
Chattanooga
Clarksville
Cleveland
Clinton
Collierville
Columbia
Cookeville
Cordova
Dayton
Dyersburg
Elizabethton
Franklin
Gallatin
Goodlettsville
Hendersonville
Hermitage
Hixson
Jackson
Johnson City
Kingsport
Knoxville
Lebanon
Madison
Maryville
Mc Minnville
Memphis
Millington
Morristown
Mount Juliet
Murfreesboro
Nashville
Oak Ridge
Shelbyville
Smyrna
Soddy Daisy
Springfield
Tullahoma
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About property and liability exposures
If you operate a home-based business – either part-time or full-time – you might be uninsured for coverage and not realize it. Many home-based business owners mistakenly believe that their homeowner policy will provide coverage for their business operations. It’s true that your homeowner’s policy may provide a limited amount of coverage for business-related personal property in the home. But it may not provide full coverage for the added property and liability exposures that the home business represents.
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Legal Disclaimers The information provided on Tennessee Insurance Advisors.com is not intended to be insurance advice, but merely conveys
general information related to insurance issues commonly encountered.
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