Medicare Plan Benefit Package

You can define an Employer Group Waiver Plan (EGWP) (i.e. 800 series plan) as a Medicare plan benefit package in the system. While defining a Membership benefit of a member person for Medicare Part A, Part B, and Part D, you need to indicate the Medicare plan benefit package which is applicable for the Membership benefit. You can then use the Medicare plan benefit package as a pricing parameter in the age based or tier based pricing rules using which the Medicare premium is calculated. In this way, the system enables you to offer different pricing for different EGWPs (i.e. 800 series plans).

The system enables you to define, edit, delete, and copy a Medicare plan benefit package through the Field Mapping screen.

Related Topics

Parent Topic: Health Insurance Business Management