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Who is primary if person has medicare and not 65 years but also has group coverage?

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How many people work at the group? Why does someone under 65 have medicare if they are able to work? Why does it matter which company is primary, just turn in the claims. http://www.medicare.gov/Publications/Pubs/pdf/02179.pdf Medicare's 43 page booklet on who pays first
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Can a spouse less than 65 get Medicare coverage if husband is 62 and disabled?

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