How to Determine if Medicare is the Primary or Secondary Payer
By federal law, Medicare is a secondary payer to a variety of government and private insurance benefit plans. When your patient receives medical benefits through one or more of the following means, Medicare is the secondary payer:
- Automobile medical or no-fault insurance
- Federal Black Lung Program
- An employer group health plan
- The Veterans Administration
- Workers' Compensation
contains rules and regulations to help you determine whether Medicare is primary or secondary.
Another resource is "Medicare and Other Health Benefits - Who Pays First," a CMS publication, which you can access at
http://www.medicare.gov/Publications/Pubs/pdf/02179.pdf
Page Last Updated: Tuesday, 04-Dec-2007 13:19:16 CST
