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Why not? What are the terms of the 2nd Insurance?

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โˆ™ 2008-11-29 20:11:37
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Nutrition

23 cards

If you were laid off and apply for insurance coverage on your wife's group policy do you have to answer a medical questionnaire

How many grams of cholesterol should you eat each day to maintain a healthy diet

What would cause a fluttering inside the ear canal

Why is beef fat a solid at room temperature

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Q: Can a dental office bill a secondary insurance company after the primary HMO lists the service as no charge?
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Related questions

Do you need to obtain prior authorization from your secondary insurance even if the primary insurance will be billed first?

Your secondary insurance has different PA criteria than your primary insurance. A PA means that your insurer will only cover a service under certain circumstances; company A may cover a service for 3 conditions and company B may only cover the same service for only 2 conditions. Your primary could pay and your secondary may not.


What is meant by primary and secondary insurance coverage?

Primary insurance coverage is what is first used when a medical service is being rendered. This is what will be billed first. Secondary insurance is supposed to cover what the primary insurance does not.


If the primary insurance allows more than the secondary insurance what would the secondary insurance pay?

Secondary insurance will not pay the claim but the remaining charges should not be billed to the member/patient. Provider of service should write off the patient responsibility that primary insurance applied.


If a child has primary and secondary medical insurance who settles the dispute when the primary decides the secondary should now be primary instead of secondary as they had been for several years now?

It's not at the discretion of the insurance company as to who is the primary or the secondary. It is the sole decision of the policy holder(you). They are a paid service and are there to serve you. Correction: No, it's not at the discretion of the policy holder. The primary coverage is based on who's birthday comes first. For example, in this particular case, the child lives with his mother and stepfather, and the stepfather and the biological father both have him on their medical insurance policies. The father's birthday is in October and the stepfather's birthday is in December. So the father's insurance is primary, and the stepfather's insurance is secondary. These are the quidelines insurance companies use to determine which one is primary, and which one is secondary.


Can Secondary Insurance not pay anything on claim if Medicare pays more on claim than they would if they were primary?

Yes, If medicare pays more than the secondary insurance allows for a charge, the secondary insurance pays nothing. The balance is written off to a contractual allowance that is agreed upon between the provider of service and the insurance company via contract.


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.


Are health care providers obligated to accept payment from a secondary insurance with whom they participate when the provider does not participate with the patient's primary insurance?

Yes they will have to accept payment from the secondary insurance, however they will have to bill the primary provider first. What ever the primary insurance does not cover should be covered by the secondary insurance. However, it will depend on the service being provided and the contracted amount that each insurance has agreed to pay. If the primary pays more than the secondary would have paid -there may be a refund due. However, there may be co-pays and deductibles to be met with both insurance policies. There could also be write downs--- you should only pay the lesser amount the provider may have to take a loss if one insurance has a lower contracted amount


Can you designate which of your insurance is secondary and which is primary?

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.


Will secondary health insurance cover what primary does not?

Not necessarily; a secondary insurance policy or plan might only provide additional benefits up to the maximum that it will pay for a specified service. If both plans have rates that are similar, this might result in a small additional payment. Some secondary insurance or health plans might pay up to their maximum -- in addition to what the primary pays, which would result in a higher payment against a claim.


What are Jobs related or dependent on trade?

any primary or secondary industry job. all depends on demand which depends on trade. e.g. a steel manufacturer or a fisherman. some service jobs also depend on trade, e.g. service job for a primary/ secondary industry based company.


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.


What if my Health Insurance Does Not Cover A Planned Service?

In such a case talk to your insurance company regarding this and get clear what service are covered and what service does not cover. Also refer the insurance plan you buy from insurance company. May be there should be a way to file a grievance.


Where can one get information on services from Charles Schwab Insurance?

You can get information on service from Charles Schwab Insurance in the official website of the insurance company. In addition, you can call customer service of the company.


When other insurers are initially liable for payment on a medical service or supply provided to a patient Medicare classifies them as the -----payer medicare secondary primary secondary or supplement?

primary


Anyone know about a life insurance company in 1960's called national public service insurance companyor Public service life?

merged into american ambicable life insurance company in 1993


What Are The Primary and Secondary industries in Dubai?

The Primary industries in the UAE are oil extraction,tourism and the service industry while the secondary ones are the banking industry, construction and real-estate.


Which pet insurance company offers the best service?

VPI Pet Insurance company offers the best service compared to other pet insurance companies. Nine out of ten veterinarians who suggest getting pet insurance prefer VPI.


Who is the parent company of McGraw Power Sport Insurance?

The parent company of the McGraw Power Sport Insurance company is the Pacific Specialty Insurance Company. The McGraw Power Sport Insurance company has many affiliates including Western Service Contract Corp. and McGraw Insurance.


What are the contributions of primary secondary and tertiary sectors to Indian economy?

service 56%


What services are offered at Rock Insurance?

Rock Insurance specializes in the service field of travel insurance. This company pioneers into many areas in the service field and travel insurance field.


Is AAA an auto insurance company?

Switch to AAA Auto Insurance today and enjoy savings, security and service. Caring Service: Understanding your car insurance needs, budget and lifestyleโ€”that's the key to finding you the right coverage. Their insurance agents are dedicated to helping you, just like their legendary tow truck drivers


What are the supplementary services?

Supplementary Services are services that are considered secondary to the primary service a business holds. A cinema, for example, offers refreshments as a secondary service to their purpose of individuals viewing films.


Which is the leading life insurance company in India?

There are many life insurance company in India provide a service for life insurance but as per my experience ICICI Lombard is the best one for getting life insurance in India which provide a good online service for insurance customers.


What is the best company to get my car insurance from if I live in Philadelphia?

Allstate insurance company has some resonable auto insurance rates and they offer good customer service.


Who is the successor to Stockman's National Life Insurance Company?

If I'm not mistaken the successor to Stockman's National Life Insurance company is World Service Life Insurance company of Forth Worth Texas