Wrap-around
Wrap-around coverage is secondary coverage that fills gaps left by a primary payer, such as a state program covering Part D deductibles, coverage-gap costs, excluded drugs, or residual copays for dual eligibles. Programs like TRICARE for Life are also described as wrapping around Medicare.
Definition
Wrap-around coverage is secondary coverage that fills gaps left by a primary payer, such as a state program covering Part D deductibles, coverage-gap costs, excluded drugs, or residual copays for dual eligibles. Programs like TRICARE for Life are also described as wrapping around Medicare.
Why it matters
Wrap-around benefits reduce out-of-pocket cost for dual eligibles and other patients, so identifying them supports accurate cost counseling and billing.
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