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Medicare and Medicaid

What age does Medicare become primary?

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2008-01-14 06:40:36
2008-01-14 06:40:36

Medicare is health insurance for people age 65 or older, under age 65 with certain disabilities, and any age with End-Stage Renal Disease.

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


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.


Assuming that you have paid Medicare payroll taxes, then you are eligible to join Medicare when you turn 65. You can become covered by Medicare before age 65, if you are considered disabled by Social Security.



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


It the wife has her husband on her work insurance plan than that is his primary insurance. If he is not covered on her plan then he would need to buy his own insurance. Once he gets on Medicare that would become his primary insurance. If his wife is still working once he gets on Medicare the primary carrier is determined by how many people work for her company. If there are less than 100 employees then Medicare would be primary.


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?


so that TriCare doesn't have to be the primary insurer


It depends, if your employer has less than 20 employees...then yes. If not, then you have the option to use the employer plan, Medicare, or both.


In general, you become eligible for Medicare at age 65 or, in some cases, if you are "permanently and totally disabled" as defined by Social Security.


You will automatically be enrolled in Medicare when you reach the age of 65, so you do not need to do anything. If you keep your private insurance, it will become supplemental and cover what Medicare does not.


Medicare is always the primary insurance unless someone is still working


assuming you mean at age 65 or beyond, medicare becomes the primary insurance, and your other insurance becomes a medicare supplement.


Medicare does not require anyone to register at age 65 or any other time. However, your health insurance company might require you to register in order for Medicare to be your primary insurance.



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.


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.


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


You can start drawing your social security check at age 62, but Medicare starts at age 65. The only way to get Medicare prior to age 65 is by a court qualifying you for a disability.


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.


You must be 65 years of age or older to receive Medicare benefits. All the details of the program can be found at Medicare.gov and this site (ssa.gov/pubs/10043.html) has the medicare publication. There is an age requirement to be at least 18 years of age to be a case head for medicare coverage but other than that any one of any age can receive medicare coverage if eligible.



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