Author Topic: Medicare Primary and Secondary insurance Co-pays  (Read 3498 times)

ladenton

  • Newbie
  • *
  • Posts: 1
Medicare Primary and Secondary insurance Co-pays
« 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?
« Last Edit: October 25, 2011, 10:00:28 PM by ladenton »
L.A. Denton @->--

PMRNC

  • Hero Member
  • *****
  • Posts: 4217
    • One Stop Resources & Networking for Medical Billers
Re: Medicare Primary and Secondary insurance Co-pays
« Reply #1 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.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4707
    • Solutions Medical Billing
Re: Medicare Primary and Secondary insurance Co-pays
« Reply #2 on: October 26, 2011, 06:50:56 AM »
and on what the patient responsibility is after Medicare.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

SLITTLES

  • Jr. Member
  • **
  • Posts: 62
Re: Medicare Primary and Secondary insurance Co-pays
« Reply #3 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.
Shontel Littles
" Show Me The Money"