DL HEALTH CLAIM SOLUTIONS, LLC - Your Medical Bill Advocate
RSS Follow Become a Fan

Delivered by FeedBurner

Recent Posts

COBRA issues
COBRA Benefits
Medical Billing Services

Most Popular Posts

Coding errors on medical bills
Health Insurance Benefits-Colonoscopies & Other Preventative Care
Update on Preventative Care
Dental claims for trauma to the mouth


Auto Insurance Medical Claims
COBRA issues
Coding Errors
Dental Claims
Early Intervention, Autistic Children
Health Insurance Benefits
Homeowner's Insurance Claims
Insurance payments
Medical Billing Servicves for Doctors
Mental Health Claims
More than One Insurance


November 2014
April 2014
January 2013
November 2012
October 2012
September 2012
May 2012
April 2012
January 2012
December 2010
November 2010

powered by

My Blog

Medicare/Secondary Insurance

This post is for people with Medicare and a secondary insurance that is NOT a Medigap policy. 
 Did you know that if you have medical services that are not covered by Medicare, but ARE covered by your secondary insurance, there is a certain way you must submit your bills to the insurance? Suppose your doctor is opted out of Medicare, so you have to pay him up front and he gives you a statement to submit yourself. You MUST complete a 1490S form, found on the Medicare website. Attach copies of the bills from your provider to this form. Write in big bold letters: FOR DENIAL ONLY across the top of the form. Mail it to Medicare so that they will create a Summary of Benefits for this service denying payment. Then you must take a copy of that summary from Medicare, a copy of the bill, and your secondary insurance claim form, and send it in to the secondary insurance.
If you do not first send it in to Medicare, your secondary insurance will either deny payment outright stating you must first bill Medicare, or they will pay against some arbitrary number they have dreamed up as the amount Medicare would have paid.
This whole process sounds complicated, but it is really about being organized and keeping copies of everything.

11 Comments to Medicare/Secondary Insurance:

Comments RSS
photo playing cards on Friday, October 05, 2012 3:05 AM
Thanks for discussing the medicare process with us and giving a clear idea about the steps to be taken.
Reply to comment
Sebamed on Saturday, December 15, 2012 6:51 AM
I really appreciate your great effort to discus about this great point medicare which is really very beneficial from health point of view.

how to get rid of skin tags on Wednesday, October 10, 2012 3:18 AM
I found your auto insurance tips very useful. This site is best to learn all the insurance conditions.
Reply to comment

treating psoriasis on Monday, October 29, 2012 6:54 AM
If person is having more than one insurance plan, then one of those insurances pays primary, and the other pays secondary and this other insurance pays for whatever costs are left over, such as copayments.
Reply to comment

MaxoLash on Monday, November 12, 2012 1:23 AM
Wonderful article ,I really appreciated from it,I was searching this information in past, So I really thankful to you for providing me a nice information,Thanks again.
Reply to comment

Sunshine Summit Lodge on Thursday, November 15, 2012 12:42 AM
One of the biggest challenges facing the healthcare industry is the question of enhancing customer experience beyond the obvious. It is taken for granted that customers require high quality medical care beyond any other considerations. However, companies that wish to go ahead of the competition have to think what they can do in addition to this or else they will be left behind.
Reply to comment

biogetica on Friday, November 16, 2012 11:31 PM
Medigap insurance is voluntary and you are responsible for the monthly or quarterly premium. Medicare will not pay any of your costs to purchase a Medigap policy.
Reply to comment

isabel marant sneakers on Wednesday, November 28, 2012 2:36 AM
It's just what I was searching for. I am always interested in this subject. Thanks for sharing.
Reply to comment

online casino on Thursday, December 13, 2012 7:50 AM
A plan provided through retirement resulting from past employment. For Medicare to be secondary, the coverage must be the result of current employment status. The Medicare beneficiary may be retired and have retiree coverage. If the spouse is still employed and provides coverage, this coverage will be primary to Medicare.
Reply to comment

car insurance online on Thursday, December 27, 2012 8:27 AM
Wow thanks for such an informative article here. I must say that I was just browsing in the internet and I found your post absolutely accidentally but I love it! Keep posting them in the future too!
Reply to comment

Altamonte Springs Locksmith on Monday, January 07, 2013 3:43 AM
You're therefore awesome! My partner and my spouse and i actually dont imagine I have examine something like this prior to. Therefore good to search out any individual with some original ideas on this matter. realy we appreciate you beginning this kind of upward. this amazing site is One thing.
Reply to comment

Add a Comment

Your Name:
Email Address: (Required)
Make your text bigger, bold, italic and more with HTML tags. We'll show you how.
Post Comment