No
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.
A Medicare Set Aside (MSA) arrangement is an administrative and funding mechanism used in certain categories of settlements to set aside money for future medical expenses that would otherwise be covered by Medicare. Unless otherwise documented and approved, the amount of a MSA is calculated based upon the specific claimant‰Ûªs life expectancy
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.
large group health plan
Humana Gold Choice is more comprehensive than some Medicare supplemental plans, but it really depends on the plan. Humana Gold Choice is a Medicare Advantage plan that offers the same benefits as the original Medicare plan except that it is a PFFS, Private Fee-for-Service, plan. However, plans like Medicare Supplemental Plan G and Medicare Supplemental Plan F offer more comprehensive benefits than the Humana Gold Choice plan.
There is no one best Medicare Advantage plan for everyone. You must decide which plan is best for you based on your location, cost of plan, etc.
Yes; by definition, Medicare supplemental insurance "supplements" Medicare A & B.
You are thinking of an MSA plan (Medical Savings Account) which is different than a PPO plan
Prescription plans can be used as a supplement to Medicare. There are medications that are not covered by medicare that a prescription plan can be used as an alternative way to receive them.
If you have a Medicare Supplement then the provider will bill Original Medicare first. At that time Medicare will pay the allowable amount and then return an explanation of benefits stating the beneficiary's portion. Based on the Medicare Supplement Plan that is in place (A-N) the Medicare Supplement will pay a portion or all of the remaining amount due. If they pay only a portion based on the plan (A-N), then according the plan guidelines, the beneficiary would pay any outstanding amount at that time. If a Medicare beneficiary is covered on a employer or retiree group plan and due to the size of the plan, the group plan is primary, then the group plan benefits will apply first and any amounts due by the Beneficiary will be billed to Medicare second. If it is a Medicare covered service, then Medicare will pay the remaining amount due as the secondary payor up to the amount allowed by Medicare. If the service is not allowed by Medicare, than the beneficiary's co-insurance or co-payment under the group plan would be their responsibility.
The term "constellation Medicare plan" is not a commonly used or specific term in the realm of healthcare. It is possible that it could be a reference to a particular Medicare Advantage plan offered by a company named Constellation, but without further context, it is difficult to provide specific information. It is recommended to seek out more detailed information or clarification on the specific plan being referred to.