Medical Billing Forum

Payments => Insurance Payments => Topic started by: ladenton on October 25, 2011, 09:51:52 PM

Title: Medicare Primary and Secondary insurance Co-pays
Post by: ladenton on October 25, 2011, 09:51:52 PM
I have recently started in a independent docs office and had a question come up that I could not remember the answer to.
For a patient, Medicare is their primary insurance. They have a secondary insurance that goes with it. The patient was using the secondary ins. for the visit. Do we take a copay from the secondary or is it already covered by Medicare which is their primary? Basically what I am asking is there a copay on the secondary insurance?
Title: Re: Medicare Primary and Secondary insurance Co-pays
Post by: PMRNC on October 26, 2011, 06:34:06 AM
I'm confused, you say they were "using" the secondary? They can't, they have to use/Bill Medicare first. Copay for secondary depends on their plan.
Title: Re: Medicare Primary and Secondary insurance Co-pays
Post by: Michele on October 26, 2011, 06:50:56 AM
and on what the patient responsibility is after Medicare.
Title: Re: Medicare Primary and Secondary insurance Co-pays
Post by: SLITTLES on October 26, 2011, 10:17:22 AM
If Medicare is their primary payer, it MUST be filed first and NO I would not collect a copay from their secondary insurance.  I would bill both payers first and then bill the patient ONLY if there is a balance left.