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Answered 2010-09-26 00:39:27

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.

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You may go to the Aetna Medicare site to apply for medicare. There are multiple forms you need to fill out to obtain the specific type of medicare you need.


Yes, Medicare is primary. Medicaid is always the payor of last resort.


Aetna Medicare is located at 151 Farmington Avenue, Hartford, CT 06156. They also can be reached by phone at (1-800) 529-5586, or by email through a form on their website.


Aetna is a good source of coverage. The physicians and facilities must be state licensed and they must be eligible to receive payment under Original Medicare.


Select an Aetna Medicare Advantage or Aetna Medicare Rx Plan above, enter your zip code, and select "Find Plans" to see what's available in your area for 2012. Or if you know the plan you're interested in, choose the Enroll Now button.



Tertiary insurance is the 3rd insurance policy responsible for payment. Example... Medicare, primary payor Blue Cross Blue Shield, secondary payor Aetna, tertiary payor


Aetna is an american health care insurance company. It provides affordable insurance policies for health care including dentals, vision, and Medicare.


WHEN MEDICARE IS PRIMARY, THE PATIENT IS RESPONSIBLE FOR THE SECONDARY COPAY.


If you are covered under your husband's plan and he is working, his plan is primary to Medicare. If you are not covered under your husband's plan, Medicare is primary.


We have Medicare and added on Anthem. Does that mean Medicare is primary (Paying 80 percent) , and Anthem is secondary?


Aetna provides health insurance, dental insurance, pharmacy, medicare and disability insurance. It is an American managed health care company founded in 1853.


Aetna provides insurance that covers medical, dental, vision, Medicare supplement plans, disability, pharmacy, life, student health, and behavioral and mental health.


Other than basic health, the types of insurance that Aetna offer are the dental, Medicare, Eye insurances. One can compare the health insurance rates with Aetna, by checking the city and state of residence that Aetna type of health insurance is available.


We got a not from the hospital when medicare paid. you do not need to worry about it unless you get a bill. They did everything for the bills for my parents.


Medicare is always the primary insurance unless someone is still working


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.


Medicare becomes the primary insurance if you drop your employer insurance. Up until you drop your employer insurance, Medicare would be your secondary insurance.


The money for medicare comes from payroll taxes.


Every covered life, whether utilizing Medicare as primary or secondary insurance is subject to the same, annual Medicare deductible.


Medicare is primary if your group is under 20 lives. 20 lives or more and medicare is secondary to your employer paid group plan.


Yes. There is Aetna Dental insurance available through Aetna. It is available for an additional charge over and above the charge for standard medical coverage.


No. If you have a deductible with your primary carrier, you will have to pay the deductible first before Medicare will pay anything.


No. What many people do not understand is that providers DO NOT determine their own reimbursement rate. When providers decide to join a network, for example Aetna, they are provided with what is called a fee schedule. The fee schedule has a list of pricing, set by Aetna that by signing the contract with Aetna, the provider is agreeing to the set fee structure set by Aetna. Should the provider bill Aetna $525.00 for a procedure which is listed on the fee schedule at $250.00, the provider will be paid at $250.00 every time, nothing more. Each insurance company sets their own pricing, so the overall answer to your question is, NO it is not fraud for a provider to bill Medicare at a higher rate than another insurance company for the same service, it is completely dependent on what the insurance company set the pricing at.


after getting the payment from medicare (Primary) then secondary (X/Y/Insurance should pay even if there is no auth. And only this happens if secondary insurance follow medicare guidelines.



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