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The primary will pay first. If the primary happens to be traditional Medicare.......They (MedicarePart B will pay 80%) and the Secondary should cover the remaining 20%. That is after your annual deductible of $165.00 has been met.

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13y ago

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If a patient has medicare primary bcbs secondary medicaid tertiary and medicare pays bu t bcbs denies for carve out Is medicaid now responsible for balance?

You would need to check the medicad policy if the claim is covered or if they will be the 3rd party insurance payee in this case.


Medicare Part B pays for:?

Physician services & durable Medical equipment


My mother receives Blue Cross Blue Shield through a job which now pays her disability. She also is covered by medicare. Which insurance company is her primary insurance?

Blue Cross Blue Shield is primary and Medicare is secondary they will the BCBS first and then bill Medicare.


How expensive is health care?

It varies. BCBS is good. Get a job that pays for your healthcare and that is ideal.


Is durable medical equipment covered by medicare?

Durable Medical Equipment: Items such as oxygen equipment and supplies, wheelchairs, walkers, and hospital beds ordered by your doctor for use in the home. Some items must first be rented. You pay 20% of the Medicare-approved amount, and the Part B deductible applies. You must get your covered equipment or supplies from a supplier enrolled in Medicare. For more details, see the link below to Medicare and You 2009: http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf


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.


If FICA and Medicare are written as two separate deductibles does this mean that you are paying double for Medicare?

FICA pays for your Social Security and the Medicare tax pays for Medicare Part A, which is your Medicare hospitization insurance. When you begin drawing your Social Security check, then your Medicare Part B medical/doctors visit insurance is automatically deducted from your check.


Medicare Part A pays for:?

hospital/facility care


Medicare pays for what percentage of covered charges?

80%


Does Medicaid cover cpap therapy?

Yes. Medicare will typically cover 80% of the cost of the machine rental, as well as 80% of covered supplies(headgear, masks, filters etc). Medicare guidelines do not allow for the purchase of the machine. The remaining 20% is the responsibility of the patient or secondary insurance.


Who does not pay for Medicare?

Everyone who pays any type of federal tax pays for medicare- Therefore, anyone who pays no federal taxes, does not pay for medicare. CORRECTION: Medicare is funded by a payroll tax, paid by employers and employees, and by insurance premiums. It is not funded by income taxes or other sources. Therefore, persons who are not yet Medicare eligible or who are unemployed and those few who are employed but do not pay Medicare payroll taxes do not pay for Medicare.


Does breathing have to be at a certain capacity before medicare pays for oxygen?

No it does not.