0
Medicare is always the primary insurance unless someone is still working
Wiki User
∙ 12y ago
Add your answer:
Earn +20 pts
When is medicare disability prime over a group health plan?
As long as the only reason you are covered by Medicare is because of a disability and you haven't reached the minimum age Medicare requires to become eligible naturally, then the number of members in the group health plan will determine who is primary or secondary. Group plans with fewer than 100 members are considered to be "small" businesses and Medicare would be primary. Conversely, "large" businesses (more than 100 members) will be primary over Medicare. It doesn't matter whether the group plan is provided by you or your spouse. At the time you reach Medicare's required age to naturally become eligible with them, your case will be reviewed. At that point, the group size doesn't matter. If you have other coverage provided by you or your spouse, it will always be primary over Medicare. Medicare won't become primary until both you and your spouse have retired and are no longer covered by a group health plan. Medicare supplement plans are always secondary to Medicare, but then those aren't group health plans.
Do you need part B when Medicare is your secondary?
Lots of people that are still working (or spouse is) and have group insurance that is primary with Medicare secondary will delay starting Part B because paying the Part B premium of $96.40 is usually not worth it for the small amount of coverage that it would provide. It is best to talk with your company's HR department for advice
Primary and secondary social group?
Primary group is a small social group whose members share personal and enduring relationship. Secondary group is a large social group and impersonal group whose members pursue a specific goal or activity.
Which group is the nucleus of all social organization?
there are 4 option which is suitable a) secondary b)Formal d) primary d) small i am confused which option in true please post true option
Is a penguin a consumer primary?
Penguins are not a primary consumer. They are known as secondary consumers as they eat small fish. Those small fish are primary consumers.
Differences between-primary group and secondary group?
Primary relationships are most common in small and traditional societies. A primary group is a group in which one exchanges implicit items, such as love, caring & concern. Primary groups are composed of people who are emotionally closed, concerned for each other`s welfare and share a sense of "We". Secondary relationships are composed of people who have little personal knowledge of each other, do not share an amount of concern, have weak emotional ties and share a specific interest or activity.
What is a secondary explosive?
Many explosive devices consist of a primary and a secondary explosive. The primary consists of a small amount of an explosive that is very easily set off. The primary creates a small explosion that sets off the secondary explosive, which consists of a material that is much harder to set off; usually a primary explosive is the only way. The secondary explosive provides most of the energy of the device, with the primary simply being a trigger. The use of primary and secondary explosives allows for explosive devices that are less likely to go off accidentally.
How do you determine if Medicare primary or secondary?
In searching for an answer to the this question,google'd for "Medicare Secondary Payer provision;"this website question was one of the top. hit'safter researching found the following: I called Medicare and asked them.Medicare told me that since my spouse,who is not working, is eligible for medicare and is currently covered by my insurance that Medicare would be secondary. Also in looking thru documentation on the internet it looks to me as if what Medicare told me on the phone is correct that My Primary Insurance would still be primary Insurer and Medicare would be secondary. Extracted and underlined relevant information from links below is my understanding of Medicare as Secondary "Medicare benefits are secondary payer to large group health plans (LGHP) for individuals under age 65 entitled to Medicare on the basis of disability and whose LGHP coverage is based on the individual s current employment status or the current employment status of a family member. Under the law, a LGHP may not "take into account" that such an individual is eligible for, or receives, Medicare benefits based on disability" Also some companies are starting to charge employee extra for coverage of spouse if the employee's spouse can get insurance thru her employment or disability. Let's call it "Spouse Extra Charge".To the point of the "Spouse Extra Charge", my spouse is not employed and according to above in purple should be eligible for the "Spouse Extra Charge" waiver and not charged the "Spouse Extra Charge".google"employers charging extra for Health Insurance for Spouse"Some companies are charging from $10 to $110 extra a month to the premium for adding spouse if spouse can get insurance at their own employment.Links are below for medicare primary or secondary I found the following at ssa.govhttp://www.ssa.gov/disabilityresearch/wi/medicare.htmpart of link below at A and from theMedicare Secondary Payer (MSP) Manual http://www.cms.hhs.gov/manuals/downloads/msp105c01.pdfpart of link below at B A start of excerpt from http://www.ssa.gov/disabilityresearch/wi/medicare.htmCoordination of Medicare and Other Coverage for Working Beneficiaries with Disabilities Question: I am under age 65, disabled, working and have both Medicare and group health coverage. Who pays first? Answer: It depends. If your employer has less than 100 employees, Medicare is the primary payer if: * you are under age 65, and * have Medicare because of a disability. If the employer has 100 employees or more, the health plan is called a large group health plan. If you are covered by a large group health plan because of your current employment or the current employment of a family member, Medicare is the secondary payer (see example below). Sometimes employers with fewer than 100 employees join other employers in a multi-employer plan. If at least one employer in the multi-employer plan has 100 employees or more, then Medicare is the secondary payer for disabled Medicare beneficiaries enrolled in the plan, including those covered by small employers. Some large group health plans let others join the plan, such as a self-employed person, a business associate of an employer, or a family member of one of these people. A large group health plan cannot treat any of its plan members differently because they are disabled and have Medicare. A large group health plan must offer the same benefits to plan members and their spouses that are over 65 and disabled as are offered to employees and their spouses under 65. Example: Mary works full-time for GHI Company, which has 120 employees. She has large group health plan coverage for herself and her husband. Her husband has Medicare because of a disability. Therefore, Mary's group health plan coverage pays first for Mary's husband, and Medicare is his secondary payer. A end of excerpt from http://www.ssa.gov/disabilityresearch/wi/medicare.htm B start of excerpt from http://www.cms.hhs.gov/manuals/downloads/msp105c01.pdf 10.3 - Disabled Beneficiaries Covered Under a Large Group Health Plan (LGHP) (Rev. 1, 10-01-03) Medicare benefits are secondary payer to large group health plans (LGHP) for individuals under age 65 entitled to Medicare on the basis of disability and whose LGHP coverage is based on the individual s current employment status or the current employment status of a family member. Under the law, a LGHP may not "take into account" that such an individual is eligible for, or receives, Medicare benefits based on disability. ---------text excluded----- Medicare benefits are secondary to benefits payable under a LGHP for individuals under age 65 entitled to Medicare on the basis of disability who are covered under a LGHP as a result of the:Individual's current employment status with an employer that has 100 employees or more (see chapter 2, �30.3); orCurrent employment status of a family member with such employer.Special rules apply in the case of multiple employers and multi-employer plans. (See Chapter 2, �30.3.) Medicare is secondary for these Medicare beneficiaries even though the employer policy or plan contains a provision stating that its benefits are secondary to Medicare benefits or otherwise excludes or limits its payments to Medicare beneficiaries.Medicare is secondary payer to LGHP coverage based on an individual s or family members current employment status for services provided on or after August 10, 1993. B end of excerpt from http://www.cms.hhs.gov/manuals/downloads/msp105c01.pdf == ==
What are 2 secondary consumers in a pond?
A secondary consumer is a small predator that eats the primary consumer. In a pond, secondary consumers may be raccoons, snakes, and frogs.
Is an armadillo a secondary consumer?
Yes, it is a secondary consumer. It feeds on insects and other small animals that feed on plants.
Are spiders first level consumer?
yes it is because secondary consumers eat primary consumers, primary consumers eat only vegetation and plants. spider's eat small insects like flies, flies are primary consumers
When secondary coil is open there is no current in the primary coil WHY?
I am assuming the question is about the power / distribution transformer and not the current transformer. The primary current is a function of load connected on secondary. With the open secondary, there is no load, no current, it is open circuit. Hence no primary current. However there is always some small amount of no load current in the primary winding.
