Author Topic: Medicare Primary and Secondary insurance Co-pays  (Read 5200 times)

ladenton

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Medicare Primary and Secondary insurance Co-pays
« on: October 26, 2011, 12:51:52 AM »
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 26, 2011, 01:00:28 AM by ladenton »
L.A. Denton @->--

PMRNC

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Re: Medicare Primary and Secondary insurance Co-pays
« Reply #1 on: October 26, 2011, 09:34:06 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
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Michele

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Re: Medicare Primary and Secondary insurance Co-pays
« Reply #2 on: October 26, 2011, 09:50:56 AM »
and on what the patient responsibility is after Medicare.
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SLITTLES

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Re: Medicare Primary and Secondary insurance Co-pays
« Reply #3 on: October 26, 2011, 01:17:22 PM »
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
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