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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

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โˆ™ 2015-07-15 21:22:59
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Q: How do you determine primary and secondary coverage for an adult patient covered by two full benefit polices?
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How do you determine primary and secondary coverage for an adult patient covered by two full benefit commercial polices?

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.


Can a wifes maternity expenses be covered by the husbands insurance if her insurance does not have coverage?

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.


What is the difference between primary and secondary commercial claims?

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.


What are facts needed to define the term life insurance?

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.


Is an IUD covered by hap insurance?

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.


What is reasonable coverage recommended for a condominium home owner's insurance?

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.


If you have medicare and your spouse also has you as a dependent on their insurance which is primary and which is secondary?

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


If a person has two Medical insurances and the primary denies due to preexisting will the secondary pay?

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.


If theres a lapse in hazard homeowners insurance am istill covered?

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


Are costs to remove fallen trees covered on homeowners policy?

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.


When husband is working and his wife collects SSI can she still be covered under her husbands employee health insurance?

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


Is theft covered in most auto insurance policies?

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.


If a covered peril triggers property coverage under the commerical property coverage is indirect physical damage also covered if results from an uncovered peril related to the covered peril?

An uncovered peril means it's not covered.


What is Medical coverage?

It is when you are covered with medical expences.


Do you have to have full coverage on each vehicle you have or is it enough to have it on one and liability on the others and be fully covered?

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.


Do you need insurance coverage on above ground pool?

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.


Is it lawfull for your vehicle insurance to charge you for what they have covered?

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.


Are you insured to drive other cars which are not insured?

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.


If you have full coverage on a car and the engines blows up are you covered?

Techlichney,no because you are not covered.


Is primary insurance copays covered under secondary insurance?

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.


Is flooding caused by a foundation failure covered?

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


Who is responsible for damage of the rented condo by robbery?

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.


What is the suffix of cover?

covered covering


Will full coverage car insurance cover electrical?

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.


If you back into your own car is there coverage?

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).