Many secondaries will NOT pay as primary. The patient really should be seeing a Medicare provider or they can pay out of pocket but the secondary may not pay without Medicare consideration. Makes sense, why would they assume primary liability on a beneficiary who has access to a provider who can bill Medicare. My dad runs into this now with his physicians that opted out. On a good note, legislation was introduced last year to allow LPC's to be covered by Medicare.
On a good note, legislation was introduced last year to allow LPC's to be covered by Medicare.
Just waiting for Medicare to actually cover is the frustrating part.
If it is a group plan then it depends on how the group plan is written. I have seen many instances where a service or provider is not covered under Medicare but the group plan does allow for it.