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In 1965, Congress created Medicare under Title XVIII of the Social Security Act to provide health insurance to people age 65 and older. However, for those individuals 65 and over who are still working and covered under an employer sponsored group health plan, the group plan generally pays first *if* the employer has more than 20 employees.

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Q: Why is medicare the primary provider for those 65 and over?
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If you are over 65 and have Medicare and medicaid is Medicare always primary?

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


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.


How do you find the Medicare provider number of a specific provider?

you can do a general internet search or call your local Medicare intermediary and ask who a specific provider is they will never release the provider number over the phone and you cant get it any other way without being affiliated with the provider.


does medicare over coverage for quiting smoking?

Typically Medicare does not have this type of coverage under its policy. You should find out more information about this from your local Medicare provider.


When is medicare disability prime over a group health plan?

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.


Are healthcare and Medicare the same?

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Select the three types of persons eligible for Medicare:?

those with disability benefits2) those with permanent kidney failure3) those 65 and over


Can you get rhynil on prescription?

Speak with your primary care provider. This is available over the counter, on the internet and various other ways.


Is there Medicare coverage for delivery?

yes, Medicare covers delivery. Medicare is for those over 65 years old, and/or disabled and who have contributed to the Medicare system through payroll deductions. Although it would be unusual to deliver at age 65+ it is entirely possible to be disabled by Medicare standards and still get pregnant and deliver a baby.


If you are not satisfied with your medicare advantage plan can you return to your original medigap plan at the next enrollment or do you have to start all over again?

If you are dissatisfied with your Medicare Advantage (MA) provider, you should have the option of returning to original Medicare Part A and B; as long as it's your first go round with Medicare Advantage and within twelve months of leaving your Medigap plan (if you had one). Then you should be eligible to purchase a Medicare Supplement (Medigap) Insurance plan.


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Those under 25 and over 65 usually have expenses greater than income hopefully those over 65 can use?

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