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I don't pay either (I'm too young for Medicare); however, it's a good idea to have supplemental insurance along with Medicare.

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โˆ™ 2011-06-14 19:58:01
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Q: Do you pay medicare monthly and a supplemental insurance both?
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What you Should Know About Medicare Health Insurance?

Over 40 million Americans are covered by Medicare, the largest health insurance in the US. If you are 65 years and older or if you are younger with certain disabilities, you may be eligible for Medicare health insurance. However, if you have end stage renal disease which involves permanent kidney failure and require a kidney transplant or dialysis treatment, you may qualify for health insurance covered by Medicare, regardless of your age. The Medicare health plan covers two main areas, Hospital Insurance which is Part A and Medical Insurance, known as Part B. Both Medicare Parts are referred to as the Original Medicare Insurance and while most people who worked and contributed to Medicare taxes do not pay for Part A, the majority of persons covered by Medicare pay a monthly fee for the Part B. Hospital Insurance helps to provide coverage for part-time skilled nursing facilities, hospice and home health care services. Hospital inpatient care is also included, which involves hospitals that provide long-term care, critical access and rehabilitation facilities. Medical Insurance helps with the coverage for outpatient care and treatment by doctors as well as some preventative services. Once the services are covered by Medicare, Part B will pay 80% of the approved amount. Other health insurance programs covered by Medicare are managed by Medicare approved private companies. They are Part C, also called Medicare Advantage and Part D, which is Medicare Prescription Drug Coverage. Both of these plans include Parts A and B along with other benefits and for Part C, payment of a monthly premium is required. As a Medicare beneficiary, you have two choices of how you can get the senior health insurance. One method is to start with Part A and B (Original Medicare) and add Part D (Prescription Drug Coverage) as well as a Supplemental Coverage such as Medigap. The other choice is to start with Medicare Advantage (Part C) and then add the Prescription Drug Coverage (Part D). However, you would not be able to add a Supplemental Insurance with this latter choice. If you need clarification or information about Medicare health insurance, contact the Social Security Administration or the medicare.gov website.


Can your husbands company require Medicare to be your primary provider?

they can't actually "require" it but any insurance can contract with Medicare to be secondary, provided both parties agree


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 is billing handled for a patient with dual insurance?

I will use for example someone on MEDICARE. They have paid into their medicare insurance and have both parts (thus eliminating confusion of part a, part b). First the bill is sent to the Medicare insurance provider, who will have an allowed amount and then of that what they will pay. The billing medical source credits what MEDICARE paid and then submits the balance to the 2nd or CO-INSURANCE. As a whole, if MEDICARE pays 90%, the CO-INSURANCE picks up the balance of 10%. These figures were used as an example. You will have to know your own breakdown of what percentage is paid. Remember is is on the ALLOWABLE or APPROVED amount, not the whole billing. Most insurance such as MEDICARE and personal insurance through a work place, have a provider adjustment. Then the % is taken from there. PRIVATE holders of medicare and co-insurance my not have the luxury of an adjustment of cost. And will have to cover what is left.


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Will Medicare automatically forward to Supplement Ins co?

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