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WHEN MEDICARE IS PRIMARY, THE PATIENT IS RESPONSIBLE FOR THE SECONDARY COPAY.

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โˆ™ 2008-01-31 19:48:52
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Q: If Medicare is primary who is responsible for secondary copay?
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Related questions

Do you have a Medicaid copay if you have medicare primary?

no


If the primary charges a 200 copay the secondary pays nothing do you owe the 200 copay on the primary if secondary states 0 owed by patient Where can you find this info?

This does not sound like an auto policy, is this medical? If so, you are responsible for the copay. I would contact your benefits administrator.


Will medicare pay my copay that i have with primary insurance?

No, Not at all....


If medicare is secondary will it pay the primary co pay?

AnswerIt depends on the allowed amounts. Even if it does pay something it will never pay the entire copay.


Which is the most popular medicare hmo?

The most popular Medicare HMO is Secure Horizons. It offers a primary care physician that provides referrals to specialists and the insured is only responsible for a copay.


When you have a primary and secondary insurance will the co-pay from your primary insurance be paid by the secondary insurance?

I have insurance paid for by my employer (primary) and through my husband's employer (secondary). In my experience, I have never had to pay the copay required by my primary because it is covered by my secondary. When I first got married, 2 years ago, I still paid the copay, but the doctor's office would always send me a check for the copay a month later because the secondary paid it.


You have Medicare as primary insurance and BCBS as secondary insurance Do you pay the copay on the secondary insurance?

The answer to this question depends on what kind of secondary insurance you have - is it a group health plan? Is it a supplement? If Medicare is primary, there are still deductibles, copays, coinsurance that would need to be satisfied by your secondary insurance. Based on your question, I'm assuming that you have a group health plan with a copayment as your secondary insurance. If so, then yes, you would pay your copayment but it would not exceed the part B deductible.


Is there copay for Medicare?

yes


What is the Medicare nursing home copay for 2011?

$141.50 is the copay for Medicare nursing home stays (day 21-100)


You need information on how copays effect primary and secondary insurance If you pay your copay on primary does that off set your copay on secondary and would secondary pay remaining portion of bill?

I don't quite understand your question. Check this link http://www.steveshorr.com/technical_questions.htm#Primary for links to explanations of dual coverage. Have you read the applicable provisions in your policies?


Does a person on medicare have to pay a copay in order to go to phyical theraphy?

Yes, most people on Medicare will need to pay a copay in order to go to physical therapy appointments. This is considered to be a specialist. If you have other health insurance outside of Medicare, this may cover the copay amount.


What is the medicare nursing home copay for 2012?

144.50


What is the medicare part b copay for 2011?

120.20


What is the copay for cataract surgery in medicare advantage plans?

gytrygtytr


Does Medicare have a copay?

No. Patients out of pocket is limited to the annual deductible and 20% coinsurance.


Is there a coinsurance on Medicare A?

no, there is a deductable and after day 60 there is a per day copay


If you have a copay with your primary insurance but also have secondary insurance do you have to pay the copay before treatment?

Depends on the doctors office billing procedures. For more details visit www.SteveShorr.com yes, your secondary insurance should cover this amount if you have reached your deductible with them. Normally, if the primary insurance applies a deductible or co-insurance/co-pay and you have not met your deductible on your secondary policy, depending on your policy they may apply the remaining balance to your deductible. Normally after the deductible is met on the secondary ins. they pay 100% of your remaining balance.


Does Medicare pay for physical examinations?

Yes. Thanks to health reform, Medicare beneficiaries now get a one-time "Welcome to Medicare" physical exam during the first year after they enrolled in Medicare Part B, and then, after a year enrolled in Medicare Part B, they get a yearly wellness exam. Beneficiaries also receive a decent list of free tests with NO copay and more tests WITH a copay. The details are in the Medicare Resource Center link below.


Where do you pay Medicare b copay?

The co-pay is typically owed to the provider of the service(s).


Are knee replacements covered by Medicare?

Yes, but unlike other procedures that are 80%/20% copay, knee & hips are 70%/30% which means that either secondary insurance pays the thousands of dollars in copayments or the patient pays.


What is the Medicare part B copay?

The Medicare Part B deductible for 2009 is $135.00. After you meet the $135.00 deductible, you will pay 20% of the bill unless you have a Medicare Supplement that pays the 20% for you. Some Medicare Supplements pay the $135.00 for you. If you have a Medicare Advantage Plan (Part C) your "copay" will vary between the type of plan, the company that offers it, and whether or not the doctor is a family doctor or a specialist. If you have one of these plans, usually a PPO or HMO, you don't pay the Medicare Part B deductible of $135.00


What is the copay for Medicare?

Medicare has various deductibles and co-insurance depending on what service is provided. In general Medicare is known as the 80/20 plan since apart from deductibles payable by the beneficiary, Medicare generally pays 80% of the Medicare allowable amount and the beneficiary pays 20% of the Medicare allowable amount.


Will Alabama medicaid pay a primary insurance copay?

Medicaid will pay the copay only if the amount of the copay added to whatever the primary insurance paid is less than or equal to what Medicaid would allow for that charge to begin with. Like charge of $50 for a visit, and the copay is $10 and the primary insurance paid $3 and Medicaid allows $15 for that particular code. Then Medicaid would pay $12.00 of it. This is highly unlikely, though.


Does medicare part A have a copay when entering a hospital?

Yes. That's why one should have Medicaid (if eligible) or supplemental insurance.


Why doesn't your secondary insurance cover your pharmacy copay?

Your secondary insurance may not cover a pharmacy copay because it is not viewed as necessary or has not been approved. This is usually associated with premium medications or those which have a preferred drug over the prescribed medication.