Retiree Medical Benefit Summary
County Non-Medicare Retired/DROP before 11/01/2013
County Non-Medicare Retired/DROP on or after 11/01/2013
Roads Non-Medicare Retired/DROP before 6/15/2010
Roads Non-Medicare Retired/DROP on or after 6/15/2010
Martha T. Berry Retired/DROP before 6/15/2010
Martha T. Berry Retired/DROP on or after 6/15/2010
County and Roads Medicare
Beginning in July, MA will pay primary for any medically necessary Medicare covered services –
According to DIFS, Medicare will pay for Medicare-covered services to enrollees in Medicare Parts A and B who opt out of PIP medical benefits, are injured in an automobile accident, and have no other available coverage.
- Because Medicare Advantage follows Medicare payment rules, Medicare Advantage plans will pay auto accident claims for those enrollees under those same circumstances.
- Medicare Advantage enrollees are required to be entitled to Part A and enrolled in Part B.
The member could be responsible for any services Medicare does not cover, such as transportation to and from medical appointments, vehicle modifications, case management services, residential treatment programs, long-term and custodial care, and replacement services.
Below are the summaries for Macomb's Medicare Advantage Summaries: