Summit Health Oregon accepts Medicare, Medicare Advantage, and all supplemental Medicare plans. Because Medicare changes frequently, visiting the Medicare website for the most up-to-date information is helpful.
HealthShare360 Medicare resource
Are you new to Medicare or have questions about your options? It can be confusing, and finding the right Medicare plan for your individual needs is important. That’s why we partnered with HealthShare360, an unbiased local resource that specializes in Medicare. They can help you compare your coverage options and select what works best for you. Through our partnership, HealthShare360 allows you to view, compare, and get an estimate for Medicare plans that include Summit Health.
To learn more, call 541-626-0287 or visit the HealthShare360 website.
HealthShare360 Inc. is a licensed and certified health insurance agency that works with Medicare enrollees to explain Medicare Advantage, Medicare Supplement Insurance, and Prescription Drug Plan options with a Medicare contract. Enrollment in any Medicare plan depends upon contract renewal. For a complete listing of available Medicare plans, please contact 1-800-Medicare (TTY users should call 1-877-486-2048), 24 hours a day/ 7 days a week or consult www.Medicare.gov.
Summit Health and Medicare
Summit Health is a participating provider with Medicare. We have a contract with Medicare to provide services to entitled beneficiaries. Medicare patients will be billed only for deductibles, co-pays, and non-covered charges.
As a participating Medicare provider, we are required to screen Medicare patients according to the Medicare Secondary Payor (MSP) rules. At each visit, Summit Health representatives will ask you the MSP questions. These questions will help to confirm if Medicare or another payer should process the claim as the primary insurance.
This may add some time to the check-in process; we apologize for any inconvenience and appreciate your understanding.
Medicare supplemental insurance
If you have additional insurance coverage in addition to Medicare, Summit Health will bill your supplemental insurance company for any amounts Medicare does not pay. Medicare supplemental and retirement plans may not cover the entire balances after Medicare. Amounts not paid by Medicare or other insurance will be your responsibility.
Medicare as a secondary insurance
Medicare will not cover you for your primary insurance if:
- You or your spouse are still working and are covered by an employee group health plan
- You were involved in an automobile accident
- You were injured and some other party may be liable for the injury. This includes Workers’ Compensation claims for Medicare-insured persons who are still working
In these cases, please provide information regarding the employer group insurance, automobile coverage, or the Workers’ Compensation claim. A Medicare claim will be submitted for any balance the primary insurance does not pay.