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What else can I help you with?
When a Medicare beneficiary has employer coverage Medicare is considered secondary and classifies the situation as?
MSP
Retiree health care coverage and Medicare?
Question isn't clear, but ordinarily Medicare is the primary payor and your retiree coverage is secondary.
Can you buy Medicare supplemental insurance if you have Medicare carve out coverage?
Please explain your question more thoroughly if my answer does not suffice. I am unsure of what you mean by Medicare Carve Out Coverage. You can buy a Medicare Supplement at any time once you have received your Medicare Part A and Part B. If you do not enroll within 6 months of your Part B effective date you would be subject to underwriting. You can not join a Medicare Supplement if you already have a Medicare Advantage Plan as this is not allowed by Centers for Medicare. You would be required to drop your Medicare Advantage Plan prior to the Medicare Supplement effective date. If you had coverage through an employer, you would not need Medicare Supplement coverage as your employer coverage would be primary and then Medicare would be secondary for your out-of-pocket costs covered by Medicare.
Who decides what Medicare or Medicaid covers?
The coverages of medicare or medicaid are determined by a panel of experts consisting of medical personnel, actuaries, valuers of the respective Insurance Company. This panel of experts determines how many coverages can be admitted in a particular medical policy from the point of view of economy and sustainability. However, the Insurance Companies have social responsibility to provide medical coverage to common people at affordable cost.
How do you determine primary and secondary coverage for an adult patient covered by two full benefit polices?
Check this page for the answer http://www.steveshorr.com/law_relating_to_insurance.htm primary policy will be medicare&secondary will bethe patient's commercial insurance company.as medicare covers all.the remaining which is not allowable wiill be covered by secondary
When is another insurance secondary to Medicaid?
Never. Medicaid is always the payor of last resort after any and all other coverage, including Medicare.
If you have medicare and your spouse also has you as a dependent on their insurance which is primary and which is secondary?
Medicare is primary unless you are working and have coverage thru your employer. Coverage thru the spouse's employer would be secondary to your own Medicare coverage.NO. The answer posted above is incorrect! Medicare is Secondary.Medicare is secondary when :-The individual or his/her spouse is currently employed/working and covered under an employer group health plan as a result of current employmentsee this linkhttp://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?p_faqid=871
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.
What is medicare part a and medicare part b?
part a is hospital coverage, part b is dr coverage
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.
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."
