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It depends on which insurance is considered “primary” and which is “secondary.” the insurance that pays first (primary payer) pays up to the limits of its coverage. This means that unless you’re receiving a service that isn’t covered by medicare, the bill will go to medicare. When you have other insurance (like employer group health coverage), there are rules that decide whether medicare or your other insurance pays first.
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If medicare is the primary payer and your employer is the secondary payer, you’ll need to join medicare part b (medical coverage) before your employer insurance will pay for part b services. Primary payers are those that have the primary responsibility for paying a claim. Medicare remains the primary payer for beneficiaries who are not covered by other types of health insurance or coverage.
For many medicare beneficiaries, medicare is always the primary payer.
Know whether medicare pays first or second with other types of insurance to make sure you have primary coverage. Medicare will normally act as a primary payer and cover most of your costs once you're enrolled in benefits. The insurance that pays first is called the primary payer. the one that pays second is called the. The insurance that pays second (secondary payer) only pays if there are costs the primary insurance didn't cover.
To determine if medicare is your primary or secondary payer for medical bills, check the details of both your medicare and other insurance policies. Alternatively, you can reach out to the benefits coordination and recovery center at 1. Your other health insurance plan will then act as a secondary payer and cover any remaining costs, such as coinsurance or copayments. If you have medicare and other health insurance, each type of coverage is called a “payer ” when there’s more than one payer, the order of payment is called “coordination of benefits ” coordination of benefits rules determine who pays first the same coordination of benefits rules apply whether you have original medicare, medicare.
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This is because when medicare is primary to your other insurance, your other insurance may not pay for costs until medicare pays—so you would be responsible for paying these costs out of pocket.
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