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How many employees does a company have to have before you have to use medicare as your secondary insurance?
Wiki User
∙ 13y ago
You are referring to TEFRA. Tax Equity and Fiscal Responsibility Act of 1982.
In application to working aged as its called and not those on Medicare for ESRD or Disability:
For a Single Employer:
In general the employer has 20 or more "total employees" for each working day in each of 20 or more calendar weeks in the current calendar year or the preceding calendar year.
Wiki User
∙ 13y ago
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Is medicare the nations largest insurance company?
No,, Medicare is not an insurance company. Medicare is a government program.
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
My mother receives Blue Cross Blue Shield through a job which now pays her disability. She also is covered by medicare. Which insurance company is her primary insurance?
Blue Cross Blue Shield is primary and Medicare is secondary they will the BCBS first and then bill Medicare.
Can secondary insurance pay claims that are denied by Medicare?
That would be covered under the terms of your policy. In general that is what supplemental, (secondary) insurance is primarily for. Most "supplemental" plans pay the 20% that Medicare didn't pay only AFTER seeing an "explanation of benefits" statement--i.e. proof that Medicare paid their part. If Medicare denies a service all together, the supplemental plan is often under no obligation to pay at all, as they are there to "supplement" Medicare, not take the place of it in cases of denial. This is especailly true if Medicare denies because the service was deemed "not medically necessary". So, in short, no. Medicare supplements often do not cover services if they are denied by the primary (Medicare).
Is Medicare primary when the spouse is still working or if the Medicare beneficiary works?
Medicare is primary if you work for a company with less than 20 employees. It would also depend on if the spouse is covered under the employer group health insurance. For more info. see www.SteveShorr.com/medicare.htm I recommend you visit www.cms.gov. to answer your question, If you are not 65+ years old, completely disabled, or both, and your spouse is employed by a company with 100+ employees, then your spouses insurance is primary. However, if you are disabled, 65+ yrs old, or the company your spouse works for has less than 100 employees, then your medicare would be primary.
Whose insurance is primary when husband is retired not on medicare and wife is working?
It the wife has her husband on her work insurance plan than that is his primary insurance. If he is not covered on her plan then he would need to buy his own insurance. Once he gets on Medicare that would become his primary insurance. If his wife is still working once he gets on Medicare the primary carrier is determined by how many people work for her company. If there are less than 100 employees then Medicare would be primary.
What companies offer Medicare supplements?
There are many firms in California that offer supplemental Medicare insurance. These include but are not limited to Blue Cross of California, Family Life Insurance Company, Genworth Life Insurance Company, Oxford Life Insurance Company and United American Insurance Company.
When does Medicare become the primary insurance?
Medicare is only secondary to your group coverage if you work for a company with 20 or more employees (could be a combination of part-time and full-time, based on total number of hours per year) and you worked 20 weeks or more, in the current or preceding year. They do not have to be consecutive weeks. If you work less than 20 weeks or your employer employs less than 20 employees, or both, your medicare coverage is your primary insurance coverage. Primary status of group benefits takes place as soon as the employment and work week criteria are met. It will be primary for at least the rest of the current calendar year and all of the following year. Primary status for medicare takes place on January 1st of the following year after an employer employs less than 20 employees or you work less than 20 weeks in that year. Medicare remains primary until employment or work week criteria meet levels to make group benefits primary.
If you have Medicare and Blue Cross which is primary provider?
In most cases, Medicare is primary. Some of the most common situations where Medicare can pay secondary are: -The individual or his/her spouse is currently employed/working and covered under an employer group health plan as a result of current employment. The company has 20 or more employees or participates in a multiple-employer or multi-employer group health plan where at least one employer has 20 or more employees. -Individual in question is entitled to Medicare as a result of a disability, the company has 100 or more employees, or participates in a multi-employer/multiple-employer group health plan where one employer has 100 or more employees. -The individual in question is Medicare entitled due to end-stage renal disease. Medicare is the secondary payer to a group health plan until a 30-month coordination period has ended.
What did the letters GEICO stand for in the name of the insurance company?
Government Employees Insurance COmpany It originally only sold insurance to employees of the US Federal Government.
What MA Insurance company has the code 429?
429 is Government Employees Insurance Company
What is the business area of the company Medicare Billing?
Medicare is a government subsidized medical insurance program. There is no company called "Medicare Billing". Medicare billing information, however, can be found on the United States Government Medicare website.
