0
When you are on a private health plan.
AnswerIt's much more complicated than that. The most common reason is that you're not retired so your employer is prime.
Wiki User
∙ 14y ago
Add your answer:
Earn +20 pts
Would Medicare be your primary or secondary insurance?
We have Medicare and added on Anthem. Does that mean Medicare is primary (Paying 80 percent) , and Anthem is secondary?
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."
Do you obtain a authorization for secondary ins when medicare is primary?
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.
When a Medicare beneficiary has employer coverage Medicare is considered secondary and classifies the situation as?
MSP
If a patient has medicare primary and medicaid secondary what payment is the patient responsible for?
WHEN MEDICARE IS PRIMARY, THE PATIENT IS RESPONSIBLE FOR THE SECONDARY COPAY.
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.
How do you bill secondary Medicaid when Medicare is with an HMO?
You submit an EOB from the Medicare HMO with your Medicaid claim.
Does Medicare or your other insurance pay first?
Medicaid is always the payor of last resort.
If a small group is in a PEO is medicare primary or secondary?
Medicare is always the primary insurance unless someone is still working
I had group health ins from my wife Medicare was my secondary -- disability We've lost group health Do I need to call Medicare to switch from secondary to primary?
Yes -- It is ALWAYS best to call to coordinate your benefits
Retiree health care coverage and Medicare?
Question isn't clear, but ordinarily Medicare is the primary payor and your retiree coverage is secondary.
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.
