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Medicare is only secondary to your group coverage if you work for a company with 20 or more employees (could be a combination of part-time and full-time, based on total number of hours per year) and you worked 20 weeks or more, in the current or preceding year. They do not have to be consecutive weeks. If you work less than 20 weeks or your employer employs less than 20 employees, or both, your medicare coverage is your primary insurance coverage.

Primary status of group benefits takes place as soon as the employment and work week criteria are met. It will be primary for at least the rest of the current calendar year and all of the following year.

Primary status for medicare takes place on January 1st of the following year after an employer employs less than 20 employees or you work less than 20 weeks in that year. Medicare remains primary until employment or work week criteria meet levels to make group benefits primary.

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13y ago
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9y ago

Medicare becomes the primary insurance if you drop your employer insurance. Up until you drop your employer insurance, Medicare would be your secondary insurance.

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12y ago

The answer to your question has different situations involved

See the below publication for complete and correct answer.

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Q: When does Medicare become the primary insurance?
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Related questions

Whose insurance is primary when husband is retired not on medicare and wife is working?

It the wife has her husband on her work insurance plan than that is his primary insurance. If he is not covered on her plan then he would need to buy his own insurance. Once he gets on Medicare that would become his primary insurance. If his wife is still working once he gets on Medicare the primary carrier is determined by how many people work for her company. If there are less than 100 employees then Medicare would be primary.


When you have Medicare Part A Insurance and Supplemental coverage which is primary insurer?

Medicare


Will medicare always be your primary insurance?

no, not necessarily


Would Medicare be your primary or secondary insurance?

We have Medicare and added on Anthem. Does that mean Medicare is primary (Paying 80 percent) , and Anthem is secondary?


What is my primary insurance my husband's plan at work or medicare?

If you are covered under your husband's plan and he is working, his plan is primary to Medicare. If you are not covered under your husband's plan, Medicare is primary.


Can medicare be used for secondary insurance if the primary insurance is paid by your employer?

Medicare is primary if your group is under 20 lives. 20 lives or more and medicare is secondary to your employer paid group plan.


If a small group is in a PEO is medicare primary or secondary?

Medicare is always the primary insurance unless someone is still working


My son receives Social Security disability and Medicare. I also carry him as a dependent on my group health insurance through work. Which insurance (group health from my employer or Medicare) is his primary insurance?

Your job insurance is the primary. Usually medicare/disability comes first then others supplement.


Do you obtain a authorization for secondary ins when medicare is primary?

after getting the payment from medicare (Primary) then secondary (X/Y/Insurance should pay even if there is no auth. And only this happens if secondary insurance follow medicare guidelines.


How do you get medicare as your primary insurance if you have horizons select as your primary you want to change?

You cannot decide which insurance is primary and which is secondary. Their is nothing you can do to determine this. Within each policy it specifies when each policy is primary or secondary. With Medicare, it is always going to be secondary to insurance provided by an employer or retirement plan.


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.


What age does Medicare become primary?

Medicare is health insurance for people age 65 or older, under age 65 with certain disabilities, and any age with End-Stage Renal Disease.