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If a person has two Medical insurances and the primary denies due to preexisting will the secondary pay?
Wiki User
∙ 14y ago
It depends on a few things. If your primary insurance is say less than 2 years old, they can deny claims to determine whether the condition is pre-existing. If you have had the secondary policy longer/ or the pre-x period has already been satisfied, then they may pay the claim as secondary. As long as the treatment is indicated as covered benefits in the policy.
These cases are common when both spouses have covered each other on their jobs. And/or when a child is covered under both parents policies. There could be a coordination of coverage issue with the latter.
Wiki User
∙ 14y ago
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When people have more then one insurance which one is considered the primary ins?
If medicare is one of the insurances then medicare is primary and the commercial insurance is secondary. If you have two commercial insurances then that would depend. It would be a good idea to contact both and get that straight before you incur a lot of bills.
What is meant by primary and secondary insurance coverage?
Primary insurance coverage is what is first used when a medical service is being rendered. This is what will be billed first. Secondary insurance is supposed to cover what the primary insurance does not.
What is third insurance called?
pertaining to medical insurance; primary secondary TERTIARY IS THE ANSWER
The insurance company with the first responsibility for payment of a bill for medical services is known as?
The Primary is the first responsiblity of medical billing and if you have dual then the secondary will cover what the primary does not if not its out of pocket or Dudctible
Can i use my secondary medical insurance to cover doctor's fees not in my primary plan?
not that we know of honey
What does fibrinolysis do?
Fibrinolysis is the process that prevents blood clots from occurring or getting worse. There are two types; primary and secondary. Primary is the normal state while secondary is due to an underlying medical condition.
You have two primary health insurances and want to know if they both have to pay as primaries not as a secondary and what happens if a bill gets overpaid when they both pay?
AnswerEventually the insurances will figure out that one is overpaying and they'll get refunds from the doctors. Note that some policies do not coordinate and then they both might pay as prime correctly.
What is a medical assistants objective?
To assist in all primary and secondary objectives according to specific training and guidelines.
What kind of insurances does Securehorizons offer?
Secure Horizons offers medical insurance for Medicare. You can chose from Medicare Advantage which is similar to an HMO or Medicare Supplemental which will cover what your primary insurance will not.
Coding a condition as primary when the majority of the treatment is for a preexisting condition?
illegal
If a child has primary and secondary medical insurance who settles the dispute when the primary decides the secondary should now be primary instead of secondary as they had been for several years now?
It's not at the discretion of the insurance company as to who is the primary or the secondary. It is the sole decision of the policy holder(you). They are a paid service and are there to serve you. Correction: No, it's not at the discretion of the policy holder. The primary coverage is based on who's birthday comes first. For example, in this particular case, the child lives with his mother and stepfather, and the stepfather and the biological father both have him on their medical insurance policies. The father's birthday is in October and the stepfather's birthday is in December. So the father's insurance is primary, and the stepfather's insurance is secondary. These are the quidelines insurance companies use to determine which one is primary, and which one is secondary.
Secondary health care providers?
Secondary health care providers are medical specialists with specific expertise that your primary care provider will refer you to.
