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If you have Medicare benefits and employer benefits which is primary?
Wiki User
∙ 13y ago
Medicare is primary.
Wiki User
∙ 13y ago
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Can medicare be used for secondary insurance if the primary insurance is paid by your employer?
Medicare is primary if your group is under 20 lives. 20 lives or more and medicare is secondary to your employer paid group plan.
Your husband has medicare and a health plan from his employer which plan should be the primary plan?
Where I work, the employer plan would be secondary and medicare would be primary. It might depend on how the company has it set up but I can't imagine any company today wanting to be the primary insurer.
When does Medicare become the primary insurance?
Medicare is only secondary to your group coverage if you work for a company with 20 or more employees (could be a combination of part-time and full-time, based on total number of hours per year) and you worked 20 weeks or more, in the current or preceding year. They do not have to be consecutive weeks. If you work less than 20 weeks or your employer employs less than 20 employees, or both, your medicare coverage is your primary insurance coverage. Primary status of group benefits takes place as soon as the employment and work week criteria are met. It will be primary for at least the rest of the current calendar year and all of the following year. Primary status for medicare takes place on January 1st of the following year after an employer employs less than 20 employees or you work less than 20 weeks in that year. Medicare remains primary until employment or work week criteria meet levels to make group benefits primary.
Who pays first if you have medicare and are retired hourly from General Motors?
Chances are Medicare would pay first as long as you are no longer working, or if your spouse does not have you covered under insurance through their employer. If your spouse IS working and you do have coverage through them, the group insurance would be primary if their employer has more then 100 employees working for them. Otherwise, Medicare will be primary.
Is Aetna Medicare primary over Medicare?
The answer depends on what type of Aetna Medicare Plan you have. If you have an Aetna Medicare Supplemental Plan, then Original Medicare pays first and the Aetna plan pays secondary If you have an Aetna Medicare Advantage HMO Plan, then the Aetna plan will always be primary as Medicare has assigned the benefits over to Aetna for processing and administration.
If you have Medicare and Blue Cross which is primary provider?
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.
How do you get medicare as your primary insurance if you have horizons select as your primary you want to change?
You cannot decide which insurance is primary and which is secondary. Their is nothing you can do to determine this. Within each policy it specifies when each policy is primary or secondary. With Medicare, it is always going to be secondary to insurance provided by an employer or retirement plan.
What is Medicare benefits with no ssa benefits?
without ssa you cannot have medicare benefits
Is Medicare membership compulsory?
No Mandatory or eligible? Government forced or employer forced? If you are receiving group benefits from an employer and if you are retired, your employer can require you to participate in Medicare when you are 65 event though you may not be enrolled in social security. The Medicare site has some good information. I posted the link below.
How do you determine coordination of benefits?
Standard coordination of benefits goes in the following order for an active employee, not a retiree: Employee: Policy in which you are the subscriber is the primary. If you are the policyholder on more than one policy, whichever policy has been in effect the longest is primary. Dependent children: For natural parents still married, or without court order, coordination of benefits follows birthday rule. The parent who's birthday falls first within the year (goes by month, not year) is primary. For parents with court order, the parent named is primary. For parents divorced/separated with spouses and no court order, custodial natural parent is primary, then spouse of custodial parent, then non-custodial parent, then spouse of non-custodial parent. If dependent children are also covered by the state, state health policies always are last in line to pay benefits. For retirees (65+) still on employer policies and covered by Medicare, Medicare is primary and employer policies are secondary.
Can your employer pay for my medicare premium?
can my employer pay my medicare premium instead of taking it out of social security
If you have medicare and your spouse also has you as a dependent on their insurance which is primary and which is secondary?
Medicare is primary unless you are working and have coverage thru your employer. Coverage thru the spouse's employer would be secondary to your own Medicare coverage.NO. The answer posted above is incorrect! Medicare is Secondary.Medicare is secondary when :-The individual or his/her spouse is currently employed/working and covered under an employer group health plan as a result of current employmentsee this linkhttp://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?p_faqid=871
