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What is secondary insurance?

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โˆ™ 2010-06-06 07:48:59

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Secondary medical insurance is a second level of insurance coverage.

Under most circumstances, the two policies are independent of each other. One policy may pay for a service while the other may not. The primary policy must pay first, then the secondary. The choice of which policy is primary or secondary is established by a shared rule between insurance companies. It is not the policy holder's choice.

Examples of Primary/Secondary coverage: A husband and wife both work and carry the medical insurance offered by their respective employers. The husband adds his wife to his policy. The wife adds her husband to her policy. Under most circumstances, the husband's plan would be his primary policy and his wife's plan would be his secondary policy. In like manner, the wife's plan would be her primary policy and her husband's plan would be her secondary policy.

Secondary insurance should not be confused with supplemental insurance. Supplemental policies usually abide by the primary insurance guidelines. If the primary allows the charge, the supplemental will allow the charge. Most supplemental policies cover the charges you would normally pay out of pocket. For example: A Medicare supplemental policy would cover the 20% coinsurance left over after Medicare pays 80% of the allowed amount.

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โˆ™ 2010-06-06 07:48:59
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Related questions

Will secondary insurance pay the co insurance amount of primary insurance if you have met the deductible in secondary insurance?

Yes


Will secondary insurance cover claims denied by your primary insurance?

As long as it is a covered expense by your secondary insurance and a claim has been filed with the primarty insurance then the answer is yes. The secondary insurance will only cover the expense according to your plan.


Will secondary private insurance pay deductible from the primary insurance?

Some will. Check with the secondary insurer.


What do you do if your doctor does not submit to your secondary insurance and now its denied for timely filing?

appeal to secondary insurance


Can you be on Medicaid and have secondary insurance?

Yes, you can. The other insurance would be primary though and the Medicaid secondary.


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.


Does secondary private insurance pay what primary private insurance will not pay?

Yes, if the secondary insurance plan covers it In the pharmacy (drugs) world of primary and secondary coverage, this is true.


Can your doctor bill you before submitting a claim to your secondary insurance?

Yes. Your doctor is not required to file to your secondary insurance.


If the primary insurance allows more than the secondary insurance what would the secondary insurance pay?

Secondary insurance will not pay the claim but the remaining charges should not be billed to the member/patient. Provider of service should write off the patient responsibility that primary insurance applied.


If primary insurance denies coverage and you have secondary who is responsible to pay the bill?

== == If secondary insurance denies coverage, YOU get to pay the bill. == ==


Can you have a secondary beneficiary on your life insurance?

Yes, you can have a secondary beneficiary on your life insurance policy. If the primary beneficiary is no longer living when you pass away, the secondary beneficiary would receive the proceeds from your life insurance policy.


Is medicaid always a primary insurance or would it be a secondary insurance?

depends

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