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The truth is that both of them are quite different from each other. A Medicare Supplemental Insurance policy is a private health insurance policy especially intended to fill in the gaps where Original Medicare falls short. Herein, the Medicare is the primary or the first payer. A Medigap insurance policy pays for the costs that are not covered in Medicare because of the limits or the insurance deductible amounts under the Medicare plan.
You may bill Medicare. conditionally using. Process D. WC insurance is primary. Bill the WC insurance. If insurer pays, bill Medicare secondary. using Process B. If payment denied, bill Medicare conditionally using Process C. If. set-aside arrangement was established, bill the administrator of set-aside arrangement. NO. NO. Bill Medicare as primary.