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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.
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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 you get tubal ligation with Medicare as primary and Blue Cross Medical as secondary?
I had a tubal ligation with Medicare as primary and Blue Cross Blue Shield secondary in 2008 thru Allina clinic in MN. I am very mad that it ended up costing me $1500 out of my pocket which to me makes no sense! Medicare paid $3000 and Blue Cross paid less than $100.
You want blue cross to be primary and medicare to secondary can you do that?
No. There is a federal law that requires Medicare is a secondary payer. You can find more information on the CMS website under "Medicare Secondary Payer and You."
What is Medicare blue?
Medicare Cov offered through the Blue Cross Blue Shield Association
Does blue cross have to pay as secondary if medicare pays as primary on a procedure?
Only if the procedure meets BC/BS criteria.
Does medicare part a pay the difference after Blue Cross which is primary carrier paid most of the claim for skilled nursing facility I have a 290 balance due the nursing facility?
Medicare does offer coverage for skilled nursing facilties. In order to find out if Medicare will pay as your secondary, the provider needs to submit it to Medicare. This statement is from the Meidcare.gov website: Medicare providers must submit claims (bills) to Medicare for you, whether Medicare is your primary or secondary insurer. For Medicare to process a claim as a secondary payer, the provider must give your primary insurance information to Medicare. You may also consider calling 1-800-Medicare for information about secondary coverage. If you do, remember from Nov 15th to Dec 31st is a busy time for Medicare so it may be difficult to reach them. One more hint to save some frustration: If BlueCross BlueShield has already paid the amount they were supposed to pay, calling them won't really help you because their job is done. Now the remaining bill is between the provider and Medicare.
My husband is retired due to disability he has healthnet I work and have anthem blue cross blue shield my husband is not getting his doctor bills paid- which is primary?
If you are actively working your policy is primary. If he has medicare then it is your policy, medicare and lastly Healthnet. If he is not eligible for medicare then it is your policy and then his. If you continue to have problems call BC/BS and ask them to do a conference call with Healthnet
How do you change to Medicare as your primary health carrier from Blue Cross Blue Shield?
If you have a medicare advantage plan (HMO, POS, etc.), you can disenroll during the Medicare Advantage Disenrollment Period (MADP) which occurs Jan. 1--February 14, 2011. You may need to enroll in a prescription drug plan.
Are medicare blue cross third party payers?
yes
What is tertiary insurance?
Tertiary insurance is the 3rd insurance policy responsible for payment. Example... Medicare, primary payor Blue Cross Blue Shield, secondary payor Aetna, tertiary payor
What are the pros and cons of Blue Cross Blue Shield?
why would a provider not want to accept blue cross blue shield
Is your wife covered under Blue Shield and Medicare if you die?
Is ones spouse covered under Medicare and Blue Shield when the primary carrier dies.
