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What is the difference between secondary and supplemental insurance?
Wiki User
∙ 13y ago
Some might say...symantics. But as a supplemental insurance agent, what it means to me is:
Secondary = a policy that typically pays the provider's remaining medical bills that a primary insurance policy did not pay. Sometimes a secondary policy will pay 100% of the leftover medical bills and sometimes it will only pay for the coinsurance portion and not the deductible (for example). This happens often when a husband & wife both take their employer's health insurance policy and cover each other. The spouse's insurance policy would pay secondary.
Supplemental = a policy that pays the policyholder to offset out-of-pocket expenses in general. Careful that your policy isn't full of the words "pay incurred charges" or "pay up to incurred charges" as it is a way to limit the actual benefit at time of claim. There's plenty of policies out there that will state a lump sum paid because "a" or "any" charge is incurred. The idea is that your co-payment and deductibles or no health insurance at all is only the tip of the iceberg if your dealing with a serious injury or illness. This usually means theirs and interruption of income with 83% of the population living paycheck-to-paycheck then it doesn't take long for it to become difficult to maintain the household bills.
Wiki User
∙ 13y ago
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What is the difference between supplemental security income and social insurance number?
Supplemental Security Income (SSI) is a needs-based program in the United States that provides cash assistance to elderly, blind, and disabled individuals with limited income and resources. A Social Insurance Number (SIN) is a unique identifier assigned to individuals in Canada for tax and social benefits purposes. SSI provides financial assistance, while a SIN is used for identification and government programs in Canada.
What is the difference between Medicare supplemental insurance and Medicare wraparound insurance?
Medicare is for old people and medicaod is for low income people.
Difference between primary and Secondary commercial claims?
There is one major difference between these types of claims. When a person has two different insurance carriers, one of them is designated as the primary coverage and the other as the secondary. The primary insurance should be billed first and normally pays the bulk of the bill. The secondary insurance gets billed for the remainder of the bill which the primary insurance did not pay for.
What is secondary insurance?
Secondary medical insurance is a second level of insurance coverage.Under most circumstances, the two policies are independent of each other. One policy may pay for a service while the other may not. The primary policy must pay first, then the secondary. The choice of which policy is primary or secondary is established by a shared rule between insurance companies. It is not the policy holder's choice.Examples of Primary/Secondary coverage: A husband and wife both work and carry the medical insurance offered by their respective employers. The husband adds his wife to his policy. The wife adds her husband to her policy. Under most circumstances, the husband's plan would be his primary policy and his wife's plan would be his secondary policy. In like manner, the wife's plan would be her primary policy and her husband's plan would be her secondary policy.Secondary insurance should not be confused with supplemental insurance. Supplemental policies usually abide by the primary insurance guidelines. If the primary allows the charge, the supplemental will allow the charge. Most supplemental policies cover the charges you would normally pay out of pocket. For example: A Medicare supplemental policy would cover the 20% coinsurance left over after Medicare pays 80% of the allowed amount.
How much does supplemantal insurance for medicare cost?
Supplemental insurance for medicare varies greatly between states. While benefits are often identical, different supplemental insurance premiums can be hundreds of dollars a year.
Primary and secondary health insurance?
You could have two insurance companies pay the same medical bill or claim for a date of service through a process of subrogation where the first insurance company determined by the effective date of coverage will pay their portion of the bill and the second insurance company will pay the balance. This process is called coordination of benefits. Secondary medical insurance is a second level of insurance coverage. Under most circumstances, the two policies are independent of each other. One policy may pay for a service while the other may not. The primary policy must pay first, then the secondary. The choice of which policy is primary or secondary is established by a shared rule between insurance companies. It is not the policy holder's choice. Examples of Primary/Secondary coverage: A husband and wife both work and carry the medical insurance offered by their respective employers. The husband adds his wife to his policy. The wife adds her husband to her policy. Under most circumstances, the husband's plan would be his primary policy and his wife's plan would be his secondary policy. In like manner, the wife's plan would be her primary policy and her husband's plan would be her secondary policy. Secondary insurance should not be confused with supplemental insurance. Supplemental policies usually abide by the primary insurance guidelines. If the primary allows the charge, the supplemental will allow the charge. Most supplemental policies cover the charges you would normally pay out of pocket. For example: A Medicare supplemental policy would cover the 20% coinsurance left over after Medicare pays 80% of the allowed amount.
Identify the difference between primary sector and secondary?
Identify the difference between primary sector and secondary sector
Can secondary insurance pay claims that are denied by Medicare?
That would be covered under the terms of your policy. In general that is what supplemental, (secondary) insurance is primarily for. Most "supplemental" plans pay the 20% that Medicare didn't pay only AFTER seeing an "explanation of benefits" statement--i.e. proof that Medicare paid their part. If Medicare denies a service all together, the supplemental plan is often under no obligation to pay at all, as they are there to "supplement" Medicare, not take the place of it in cases of denial. This is especailly true if Medicare denies because the service was deemed "not medically necessary". So, in short, no. Medicare supplements often do not cover services if they are denied by the primary (Medicare).
Is the coverage under Medicare supplemental insurance plans the same, regardless of the company you go with.?
Pricing and coverage can differ between insurance companies that provide the supplemental coverage. Find more information at: http://www.medicare.gov.
What is the difference between health and supplemental insurance?
Health Insurance pays benefits to the doctors and hospitals that provide medical assistance when your are sick or hurt.Supplemental Insurance pays benefits directly to you. Use the money to cover unpaid medical bills, travel expenses, and to replace lost income.
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What is the difference between supplemental and supplementary?
They are both adjectives meaning 'added to supply what is needed'.
