Medical Billing Forum

Billing => Billing => Topic started by: Darlene on September 20, 2017, 05:08:15 PM

Title: Medicare as Secondary
Post by: Darlene on September 20, 2017, 05:08:15 PM
We have a patient who has BCBS as Primary Insurance as a HSA plan. When billed it allowed say $106.00 and put to patient responsibility. Then Medicare is secondary insurance and it was billed as secondary and it allowed $65.57 to deductible and put to patient responsibility. My question is: What is actually the amount we are to bill the patient?

I appreciate any assistance with this!

Thank you, Darlene
Title: Re: Medicare as Secondary
Post by: PMRNC on September 21, 2017, 09:41:32 AM
The BCBS plan is an HSA? That's odd... you said they "allowed" $106? So why was their no payment?

 
Title: Re: Medicare as Secondary
Post by: Darlene on September 21, 2017, 09:45:11 AM
It is a HSA plan so it all goes to patient deductible and then the patient is to pay with their HSA account.

Darlene
Title: Re: Medicare as Secondary
Post by: Michele on September 21, 2017, 09:54:29 AM
With Medicare as the secondary you cannot bill the patient more than the amount Medicare says is patient responsibility.  The Medicare EOB will show that amount.

Title: Re: Medicare as Secondary
Post by: Darlene on September 21, 2017, 09:59:03 AM
Ok, thank you for assisting me with this question.

Darlene
Title: Re: Medicare as Secondary
Post by: PMRNC on September 21, 2017, 01:35:27 PM
Quote
It is a HSA plan so it all goes to patient deductible and then the patient is to pay with their HSA account.

Forgive me but I'm still completely lost on this.. IF this is a true HSA account, there are no deducibles or out of pocket. An HSA is a Health savings account it is NOT an insurance policy. I'm completely stumped on why an HSA would be PRIMARY to medicare.

Are you saying the patient has BCBS primary ...THEN they have an HSA and then Medicare? If so then the HSA is the payor of last resort because they are the Health savings acct.. NOT an insurance policy.

Title: Re: Medicare as Secondary
Post by: Darlene on September 21, 2017, 01:43:50 PM
They have BCBS primary and then Medicare as secondary.
Title: Re: Medicare as Secondary
Post by: PMRNC on September 22, 2017, 09:11:50 AM
Quote
They have BCBS primary and then Medicare as secondary.

Ah ok... Now I understand. Your original post indicated:
Quote
We have a patient who has BCBS as Primary Insurance as a HSA plan.

That just threw me :)
Title: Re: Medicare as Secondary
Post by: Darlene on September 22, 2017, 09:30:51 AM
It all throws me..... :o