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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 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.

Can you collect benefits from both California state disability and the disability insurance that your employer offers?

You will have to check your employer's disability policy. Some will integrate benefits with state disability, and others will be considered as supplemental. A supplemental policy allows you to collect benefits from both.

Will Medicare automatically forward to Supplement Ins co?

It's the provider's office responsibility to forward the bills to the correct insurance for payment. When using Medicare along with a Medicare Supplement, you'll show both your Medicare Card and your Supplement insurance company's card at time of payment. The provider's office will bill each card accordingly.

Who pays for higher Medicare spending?

Currently, Medicare is financed by a health insurance tax paid by employers and employees. Currently the tax rate is 1.45% and is paid by both employers and employees.

When people have more then one insurance which one is considered the primary ins?

If medicare is one of the insurances then medicare is primary and the commercial insurance is secondary. If you have two commercial insurances then that would depend. It would be a good idea to contact both and get that straight before you incur a lot of bills.

Finding Affordable Insurance?

If you are an senior citizen, you might be struggling to pay your medical bills, even if you have insurance. The cost of medical care has been rising, and individuals on a fixed income are feeling the strain. Fortunately, there are ways to find affordable insurance. Follow these tips if you need to find a health care plan that will not break the bank.Talk To A Medicare ExpertIf you qualify for Medicare, this program should help you pay for some of your medical expenses. For many individuals, however, supplemental coverage is necessary. Because the Medicare system is quite complicated, it is best to speak with a Medicare expert regarding your coverage options. Many insurance companies employ Medicare specialists, you can explain both your government benefits and your supplemental coverage options.Get Health Insurance Through An EmployerUnless you are retired, you might be able to get health insurance through your employer. Because employers usually cover at least part of the insurance plan's cost, this is one of the cheapest ways to get health insurance. If you are retired, but you still have plenty of energy and time, consider getting a part-time job that comes with medical benefits.Compare Rates And PlansAnother great way to find affordable insurance is to compare rates and plans from different companies. You should compare rates whether you need a supplemental policy or a traditional health insurance plan. As a senior citizen, your rates might be slightly higher due to your age, but you should still be able to find a reasonably priced plan. Call both local and national insurance companies so that you can determine which agency charges the lowest rates. You can also compare insurance rates online. This method is usually the fastest, as you will not have to wait on hold to speak with an agent.Consider A High Deductible Health PlanIf you do not yet qualify for Medicare and you need to purchase a health care policy, consider enrolling in a high deductible health plan. The monthly premium is usually much lower than the premium for a PPO plan with co-pays. Although you will need to pay for all medical visits until you reach your deductible, many preventative services are covered. Additionally, you can enroll in a health care savings fund that allows you to pay for medical costs using pre-tax dollars. This can lead to significant savings for many individuals.

What is HSA Health insurance used for?

HSA Health insurance is a type of medicare that has both short and long term plans. Most elderly people have these plans to ensure that there family is financially secure.

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