Home » Medicare and Other Health Benefits: Your Guide to Who Pays First by Centers for Medicare & Medicaid Services
Medicare and Other Health Benefits: Your Guide to Who Pays First Centers for Medicare & Medicaid Services

Medicare and Other Health Benefits: Your Guide to Who Pays First

Centers for Medicare & Medicaid Services

Published June 30th 2014
ISBN : 9781500357689
Paperback
32 pages
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 About the Book 

If you have Medicare and other health coverage, each type of coverage is called a payer. When theres more than one payer, coordination of benefits rules decide who pays first. The primary payer pays what it owes on your bills first, and thenMoreIf you have Medicare and other health coverage, each type of coverage is called a payer. When theres more than one payer, coordination of benefits rules decide who pays first. The primary payer pays what it owes on your bills first, and then your provider sends the rest to the secondary payer to pay. In some cases, there may also be athird payer. Whether Medicare pays first depends on a number of things, including the situations listed in the chart on the next two pages.However, this chart doesnt cover every situation. Be sure to tell your doctor and other health care providers if you have coverage in addition to Medicare. This will help them send your bills to the correct payer to avoid delays. Note: Paying first means paying the whole bill up to the limits of the payers coverage. It doesnt always mean the primary payer pays first in time.