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I understand when Medicare is primary and when Medicare is secondary. What is the difference in coverage between a Medicare Supplement and Medicare as a secondary insurer?
If you have a Medicare Supplement then the provider will bill Original Medicare first. At that time Medicare will pay the allowable amount and then return an explanation of benefits stating the beneficiary's portion. Based on the Medicare Supplement Plan that is in place (A-N) the Medicare Supplement will pay a portion or all of the remaining amount due. If they pay only a portion based on the plan (A-N), then according the plan guidelines, the beneficiary would pay any outstanding amount at that time. If a Medicare beneficiary is covered on a employer or retiree group plan and due to the size of the plan, the group plan is primary, then the group plan benefits will apply first and any amounts due by the Beneficiary will be billed to Medicare second. If it is a Medicare covered service, then Medicare will pay the remaining amount due as the secondary payor up to the amount allowed by Medicare. If the service is not allowed by Medicare, than the beneficiary's co-insurance or co-payment under the group plan would be their responsibility.
Will secondary insurance pay the co insurance amount of primary insurance if you have met the deductible in secondary insurance?
Yes
What are medicare?
a co-pay
Does secondary insurance cover or pay copays of primary insurance?
The secondary insurance cover both pays and co-pays of the primary insurance depending with the insurance company.
Can a primary co signer take the car from the secondary co signer?
can a primary co signer take the car away from a secondary co signer
I am trying to find out about Medicare/Medicaid co-payment responsibility with dual coverage?
Your state may have varying laws about dual coverage, but generally speaking, if you have a primary insurance, they will pay first. Any co-pay or deductible that your primary coverage does not pay will be covered by government insurance.
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.
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.
What does Carve out coordination of benefits mean in dental insurance?
When a patient has primary and secondary insurance plans and there is a CO Bcarve out clause on their secondary plan this is what happens. Primary pays their amount and secondary subtracts primary's payment from what they were suppose to pay and pays the difference. Example: Primary pays 50% of a filling which cost $100.00 and secondary pays 80%. Primary pays $50.00, secondary would pay $80.00, therefore, secondary would only pay $30.00 of the remaining $50.00. It is a very confusing issue and I have been in dental for over 25 years and I still have a hard time explaining this to patients.
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.
What is Medicare patient's responsibility?
The patients responsibility is the dollar amount indicated on the MRN (Medicare Remittance Notice) due to the doctor (rendering provider). This amount is typically 20% that Medicare does NOT cover, and solely the responsibility of the patient when one has Medicare as their primary health insurance carrier, and NO supplemental or secondary insurance. By law the patient MUST pay this 20% co-pay amount indicated by Medicare. The patients responsibility amount may vary according to the level of visit, or deductible due, all indicated by their insurance. If a Medicare member has any questions regarding how much they owe to a doctor at any time, they should call the number located on the back of their Medicare identification card.
What are three items that medicare beneficiaries are responsible for paying before medicare will begin to pay for services?
What are three items that medicare beneficiaries are responsible for paying before medicare will begin to pay for services?
