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If Medicare is your secondary insurance and your primary insurance is paying only a part of the bill can the hospital sue you for anything?


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2009-08-30 02:30:15
2009-08-30 02:30:15

Providers and hospitals that are in your insurance companies network will not come after the patient for costs over the negotiated allowed amount for the services they provide. Providers and hospitals can try to collect from you if they are not in the network (even if your insurance company has paid for some costs) or if some of the services are not covered by your insurance company, or if you are over the benefit limit for those services. Also, providers and hospitals can collect coinsurance costs that you haven't yet paid. If Medicare is secondary than unpaid costs would fall to them but the same rules apply. Potentially some services are not covered by either.

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Medicare would have covered all the remainder if my insurance had not made the error "Can they rebill medicare again I received a bill from the hospital almost 2 years after spouses death because insurance company made a mistake am I responsible because medicare should pay rest?"

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Medicare Part A which is "Hospital Insurance." It pays as primary insurance for the long-term disability. It helps pay for inpatient hospital care, inpatient care in a skilled nurshing facility, home health care and hospice

If you want to use it, of course. But you are never required to submit health insurance to anyone.

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

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:

File a claim with both companies. The companies will pat what they are supposed to pay.

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You're screwed. Better have some medicare or something. Welcome to the world of 'not haves'

I'm 73 and on Medicare. The insurance I have now for Victor Legner UCSD primary care doctor will be discontinued Dec. 31, 2013. I need to know what insurance (HMO's and PPO's) UCSD Hospital and Dr. Legner will accept in 2014?

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medicare part b is for medical part and medicare part a is for hospital. If the procedure was done in the hospital it should be coverd.

Covered Services by Medicare Part A: Medicare Part A, Know as Hospital insurance, helps to pay for: Inpatient Hospital Services Skilled Nursing Facility Nurses Home Health Services Hospice Care Individuals not eligible for Premium free part A benefits through employment can purchase the coverage through monthly premiums by contacting the social security administration.

Yes, any hospital that will accept Medicare payment.

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