When you become Medicare eligible, you may be wondering if the options you’re exploring or the coverage you already have is going to pay primary or secondary. Well the answer is, it depends on what coverage you currently have. In today’s video, we’re going to answer the big question on is your Medicare primary or secondary? Hi Medicare Community. My name is Lindsay Malzone and on the Medicare expert for Elite Insurance Partner and MedicareFAQ.com. It’s Common for Medicare beneficiaries to work past the age of 65. Most of them have employer coverage. So one of the bigger questions is, should I enroll in Medicare if I have employer coverage and if so, when is it primary or secondary? Whether or not your group employer coverage is primary or secondary, depends on how many employees are at the company. When your supervisor has more than 20 hires then your coverage is considered creditable. Nonetheless, “if youre having” less than 20 employees, then the coverage is not considered creditable. In this case. You’ll want to be entered in Part B to avoid being charged any late enrollment disadvantages. When your group employer coverage has more than 20 employees and is considered creditable under Medicare, Medicare will be your secondary coverage and your employer group coverage will be primary.In the scenario were are companionship has less than 20 employees and is not considered commendable, then Medicare will be your primary coverage and your group employer coverage is likely to be secondary. In this situation, your coverage is not considered commendable and you are going to incur a late enrollment penalties is under Part B. When you’re on Medicare due to a disability and you have employer coverage through maybe your marriage, Medicare will be a primary if the employer has less than 100 employees and will be secondary if the employer has more than 100 hires. Now, let’s go over how a Medicare Advantage plan will work with Medicare regards to being primary or secondary. To enroll in a Medicare Advantage plan, you still must be enrolled in Part A and Part B of Original Medicare. When you have Medicare Advantage, the programme is always going to be considered your primary coverage. This is because your Medicare Advantage plan is paying for your care instead of Medicare. Now, let’s go over other situations when Medicare is your primary coverage. When you enrolled in both Medicare and Medigap, your Medicare has all along been your primary coverage and your Medigap plan will be your secondary coverage.When your dual eligible for both Medicare and Medicaid, Medicare is your primary coverage. Other scenarios where Medicare is your primary coverage include: Federal Employee Health, Benefits, Tricare, Cobra, retiree policy and Tribal Self insurance. Now let’s go over some situations where Medicare compensates secondary. When you have an active workers compensation, obligation or no-fault insurance policy, your Medicare coverage will be secondary. This is because the Medicare secondary payer deed protects Medicare from paying for illness and injury related cost when there is another party responsible for the beneficiaries condition. Another scenario where Medicare pays secondary is those who are active duty with TRICARE. One question we get a lot is how VA benefits or ex-servicemen benefits work with your Medicare coverage? In this scenario, “were not receiving” primary or secondary coverage, since each one is only eligible to be used at a specific rectify of facilities.You have your Medicare approved equipment and your veterans approved equipment. When you go to a medical equipment, Medicare will pay. When you go to a VA facility, your veterans benefits will compensate. Now, let’s talk about how the marketplace coverage or Obamacare works with Medicare. Well, regrettably, Medicare does not work with Marketplace health care at all. If you are receiving any aids through the HealthCare Marketplace, regrettably, you’ll no longer qualify for those gives formerly you’re eligible for Medicare.You’ll have to pay the full premium with no gives shall be used for your coverage if you choose to keep the coverage through the marketplace. Likewise, if you don’t previously got a plan through the marketplace, it is illegal for any Medicare agent to sell you a program. It’s important to be clear on how Medicare use or doesn’t work with the current coverage you have. The info can sometimes be overwhelming, but that’s why we’re here.Once you understand its easier to make an important health care decision. Thank you so much for watching. I hope you ascertained the video supportive. If you haven’t already is committed to our YouTube channel, make sure to do so. Don’t forget to turn notifications on so youre advised each time we upload a brand-new video. You also have a terrific Medicare community on Facebook, well include a tie-in in the description below so you can join. Until next time. Bye ..
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