Auto Insurance
Medical Insurance
Medicare and Medicaid

How do you determine primary and secondary coverage for an adult patient covered by two full benefit polices?

313233

Top Answer
User Avatar
Wiki User
2015-07-15 21:22:59
2015-07-15 21:22:59

Check this page for the answer http://www.steveshorr.com/law_relating_to_insurance.htm

primary policy will be medicare&secondary will bethe patient's commercial insurance company.as medicare covers all.the remaining which is not allowable wiill be covered by secondary

1
๐Ÿ™
0
๐Ÿคจ
0
๐Ÿ˜ฎ
0
๐Ÿ˜‚
0

Related Questions

User Avatar

AnswerIf both policies are in his name (like he has two jobs) then the older policy will be prime. I one is a spouse's policy then that would be secondary.

User Avatar

If you both have coverage the wife's policy will be primary, and the husband's will be secondary - provided the wife is covered under the husband's policy. Submit the unpaid claims to the secondary carrier.

User Avatar

The primary coverage is provided under the plan provided by the employer. Secondary coverage is usually a result of being covered as a dependent under someone else's health insurance plan.

User Avatar

Term life insurance is a type of insurance coverage offered to a group of people. This coverage will provide a benefit to the beneficiaries if the covered individual dies during the defines covered period.

User Avatar

It is best to check directly with your insurance provider to determine your plan coverage. Some plans only cover a specific device I.e. Paragard or Mirena. Additionally, you can check with your healthcare provider's office to determine coverage eligibility.

User Avatar

Your broker can help you determine how much insurance to carry in your HO-6 policy, based on what might be covered in the association's master insurance policy.Ask your board or your management company to send you a coverage page from the master policy, then you and your broker can determine the coverage you need.

User Avatar

Medicare is primary unless you are working and have coverage thru your employer. Coverage thru the spouse's employer would be secondary to your own Medicare coverage.NO. The answer posted above is incorrect! Medicare is Secondary.Medicare is secondary when :-The individual or his/her spouse is currently employed/working and covered under an employer group health plan as a result of current employmentsee this linkhttp://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?p_faqid=871

User Avatar

It depends on a few things. If your primary insurance is say less than 2 years old, they can deny claims to determine whether the condition is pre-existing. If you have had the secondary policy longer/ or the pre-x period has already been satisfied, then they may pay the claim as secondary. As long as the treatment is indicated as covered benefits in the policy. These cases are common when both spouses have covered each other on their jobs. And/or when a child is covered under both parents policies. There could be a coordination of coverage issue with the latter.

User Avatar

No. You are not covered in a lapse period. A period of lapse in coverage means " No Coverage ".

User Avatar

It depends on what kind of policy you purchased, Some will provide coverage for debris removal while others do not. Contact your insurance agent to determine what scope of coverage you purchased.

User Avatar

Yes! If she has a state-funded insurance also, the husband's coverage will be secondary.

User Avatar

Theft will be covered by most auto insurance policies as long as you have full coverage insurance. It will not be covered if you only have liability or basic coverage.

User Avatar

It is when you are covered with medical expences.

User Avatar

You'll be fully covered only on the vehicles for which you choose to place full coverage insurance. The others will only be covered for liability losses if you only buy liability coverage for them.

User Avatar

The pool would be covered under Coverage B "other structures" of your policy. Any structure not attached to your home is covered under Coverage B.

User Avatar

Yes, That's how it works. The insurance company sells you coverage in the form of an insurance policy and you pay a premium in exchange for that coverage. If you don't pay for the coverage then your not covered.

User Avatar

You should double check with your insurance company to see how your policy is written, but usually your insurance would kick in as secondary coverage and you would be covered.

User Avatar

Flooding in general is typically not covered by a homeowners insurance policy. Flood coverage is a separate type of coverage. Bear in mind that not all policies offer the same coverage. It may just depend on what the cause of your foundation failure and if that cause is a covered peril. Best advice is to contact your insurance agent and ask about the foundation coverage and what perils it would be covered for

User Avatar

Depending on your coverage, your primary insurance will cover 80% of your charges, minus your deductible (if not already met). Your secondary insurance will pick up the remaining 20% co-insurance and your co-pay, if you have one.

User Avatar

The unit owner can contact the board of directors to determine whether the interior of the unit is covered by the master policy, or not. Otherwise, the owner can contact their HO-6 insurance provider to determine coverage.

User Avatar

Physical Damage coverage on an auto policy covers all parts of the car that are damaged in a covered loss or covered accident. Maintenance issues are not covered on auto insurance.

User Avatar

Car #1 is covered by it's collission coverage, less deductible. Car #2 is covered by the property damage liability portion of the coverage on car #1, and there is almost never a deductible on that coverage. This is considered one (1) accident, not two (2).

User Avatar

It depends on the scope of coverage you purchased and the reason for the separation. Typical perils covered under a home insurance policy are for damages that result from Fire, wind, hail, etc. Contact your insurance agent to determine the scope of coverage you purchased. He or she will be in the best position to advise you of our coverage.


Copyright ยฉ 2020 Multiply Media, LLC. All Rights Reserved. The material on this site can not be reproduced, distributed, transmitted, cached or otherwise used, except with prior written permission of Multiply.