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Who pays for what Medicare does not cover if you have no supplemental policy?
Pjohan
The receiver of the medical service; you.
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∙ 17y ago
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What types of charges does medicare supplemental insurance cover?
Medicare supplemental insurance, also known as Medigap, helps cover some of the out-of-pocket expenses that Medicare does not cover. This can include things like deductibles, copayments, and coinsurance. However, Medigap plans do not cover services that are not covered by Medicare, such as dental, vision, or hearing care.
What is meant by the term Humana Supplemental Insurance?
Humana is a medical insurance company. Supplemental insurance refers to add ons to an existing policy. Supplemental insurance can cover deductibles, co-pays and other expenses not covered by a policy.
Can secondary insurance pay claims that are denied by Medicare?
That would be covered under the terms of your policy. In general that is what supplemental, (secondary) insurance is primarily for. Most "supplemental" plans pay the 20% that Medicare didn't pay only AFTER seeing an "explanation of benefits" statement--i.e. proof that Medicare paid their part. If Medicare denies a service all together, the supplemental plan is often under no obligation to pay at all, as they are there to "supplement" Medicare, not take the place of it in cases of denial. This is especailly true if Medicare denies because the service was deemed "not medically necessary". So, in short, no. Medicare supplements often do not cover services if they are denied by the primary (Medicare).
Will Medicare cover pegnant girlfriend?
If your pregnant girlfriend is on Medicare it will cover it. Normal deductibles and co pays still apply.
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.
What is secondary insurance?
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.
What does secondary health insurance cover?
First check your policy. Then check http://www.steveshorr.com/technical_questions.htm#Primary for the rules on who pays first. Basically a 2nd policy will pay what the primary didn't, but not more than 100% of your bills. If the bills are not relevant, then it's a supplemental policy.
What is the health insurance policy administered by the government for most elderly people?
Medicare is the health insurance policy administered by the U.S. government for most elderly people. It provides coverage for hospital stays, doctor visits, prescription drugs, and other medical services for individuals over 65 and certain younger people with disabilities.
What does the AARP Medical Supplemental insurance do?
AARP Medical Supplemental insurance is almost essential these days for people who rely solely upon Medicare for their health care needs. This supplemental insurance pays for the things that are ordinarily not paid for by Medicare and can really come to a large amount of a persons fixed income in their retirement. The insurance thereby can relieve stress upon seniors that they will not go bankrupt due to an illness.
Patient has Medicare primary and medi cal secondary provider bills Medicare knowing Medicare contract is suspended or pending who then pays claim?
Once Medicare has "adjudicated" the bill, MediCal's payment will be based on their policy and the patient's eligibility on the date of service.
How much of a medical bill does Medicare usually cover?
Medicare usually covers 50-80% of the medical bill, while the recipient pays the remaining balance for services provided.
Primary and secondary health insurance?
You could have two insurance companies pay the same medical bill or claim for a date of service through a process of subrogation where the first insurance company determined by the effective date of coverage will pay their portion of the bill and the second insurance company will pay the balance. This process is called coordination of benefits. 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.
