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It depends on the provisions for coordination of benefits. Some do, some don't.
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∙ 15y ago
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If secondary agreed upon insurance is lower than the primary insurance agreed upon price which one can the provider bill the paitent?
Primary has to process and pay claims first then secondary will process and pay leftover expenses according to their policy provisions. The secondary sometimes excludes payment towards a primary policy deductible.
Do you have to pay the medicare deductible if they are paying secondary to a primary insurance carrier?
This is directly from the Medicare and You 2009 Book: When you have other insurance, there are rules that decide whether Medicare or your other insurance pays first. The insurance that pays first is called the "primary payer" and pays up to the limits of its coverage. The one that pays second, called the "secondary payer," only pays if it covers any of the costs left uncovered by the primary coverage. If you have other insurance, tell your doctor, hospital, and pharmacy so your bills get paid correctly. If you have questions about who pays first, or you need to update your other insurance information, call Medicare's Coordination of Benefits Contractor at 1-800-999-1118. TTY users should call 1-800-318-8782. You can view the details here: http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf
How do health insurance deductibles work?
An insurance deductible is a set amount of money that the insured is required to pay before the insurance company starts to pay. For instance, if your deductible for the year is $100.00, and your first insurance bill is $150.00 , they will only pay $50 and you will have to pay $100 (deductible). Every insurance bill after that will be paid for by the insurance company until the end of the year and then the cycle starts again. The deductible is your responsibility.
What does a deductible mean if you are in a car accident?
A deductible, or insurance deductible, is an amount of money the first of which the insurance company will not pay towards the cost of the loss suffered. For example, a $500 deductible means that the insurance company will not pay the first $500 of a loss. Deductibles are made for the purposes of keeping the costs of insurance down by making the insured pay a certain amount of money and not make a claim towards minor losses. If the accident is the other person's fault, either their insurance company will pay that deductible or you can sue them in court.
How do you figure out the write-off with primary and secondary dental insurance?
first you should obtain the explanantion of benefits from your primary. it should indicate what the write off amount is. if you're not sure, call the insurance company and ask them. then do the same with your secondary. the secondary insurance will consider the amount allowed by the primary and will usually base their benefits on that. if you are lucky, between the two, you should have little out of pocket expenses.
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.
What is the definition of primary coverage in regard to medical insurance?
Often, a person will have "primary" insurance and "secondary" insurance. For example, if you have insurance through your job, and your husband has insurance through his job, then your primary insurance will be the one through your job, and your secondary insurance will be the one through your husband's job. Also, your husband's insurance through his job will be his primary, and yours through your job will be his secondary. There can be some exceptions to this though. For example, if you were married, had a child, then divorced and remarried (retaining custody of the child), and both your ex and current husbands have insurance through work, then the one who's birthday is first is considered the "primary" insurance, and the other is the "secondary" insurance. But there will still be a deductible with each one that has to be met before either one will pay.
What is the difference between copay and coinsurance when you have primary and secondary insurance?
A copay is a "set" dollar amount you pay at the time of treatment. For instance, a $35 doctor copay. If you have level one doctor visits, you pay nothing more than the $35 doctor copay. Co-insurance is the percentage you share with the insurance company after your deductible has been met. When you have two policies - your primary insurance will pay first (subject to deductible and co-insurance), and then your second policy starts with the balance left from the primary policy (subject to deductible and co-insurance again). For instance a primary policy with a 5,000 deductible and 80/20 co-insurance of $5000. Your bill for surgery is 6000. You pay 5,000 + 20% of $5000 (1000) = $6000.00 Your balance of your surgery bill is 0
Does home owners insurance cover someone hitting your mailbox?
Yes, it will cover that minus your deductible,, However you should first check to see what your deductible is. Most mailboxes are pretty cheap and likely far below the cost of your policy deductible. No point in filing an insurance claim if the cost of repairs is below your deductible.
If a truckdriver hits a car who pays the deductible the driver or the owner of the truck?
THE POLICY HOLDER, WHO IS USUALLY THE OWNER OF THE TRUCK IS RESPONSIBLE FOR THE DEDUCTIBLE. If the truck driver is fully responsble for the accident, his insurance should pay for the damages to the car and there would be no deductible. If the car owner went through his coverage first to get repairs done, then the car owner is responsible for the deductible. Then the car owners insurance would go through subrugation to the truck drivers insurance to get full payment of the loss. When that is completed, the car owner would get his deductible returned to him.
Is Medical pay on an Auto Policy primary over Health Insurance or secondary?
No. You will have to use your health insurance first.
Can you suggest some good dental insurance plans?
Well I would first see if you qualify for government assistance. If you do not then try western dental's insurance plan, they offer great premiums and have friendly service.
