Anyone here have QMB as the 20% that pays for surgery, after Medicare?

The billing office is being stupid saying they need a pre-auth, for QMB.

I've talked to my caseworker, and Medicaid. They say no pre approval needed!

What's your experience?

Edited April 28, 20197 yr by Hea.Lea
forgot to add to MEDICARE

I'm not sure exactly what this is, but I have Medicare and only paid $245 for surgery and had to wait 8 months total.

My guess is Qualified Medicare Beneficiary, at least that's how my Ohio Medicaid card reads. Suspect yours is pretty much the same.

Yes, that's what it means. But do they require a pre-auth?

I went through this. Your surgical provider needs to call your main insurance and have the 80/20 rule explained.