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What is primary and secondary in Medicare?
When we are talking about primary and secondary insurance we are talking about Coordination of benefits. This will apply if you are working still and you have an employer health plan. Primary is the one that pays first and versus the secondary pays second. It depends on the size of your employer. If your employer has 20 or more employees, they would generally be the primary payer in the Medicare world. A lot of times folks will delay Part which is for doctors and outpatients. They might take just Part A and then delay Part B. Watch your time frames when you leave your employer plan. There are certain time deadlines that you want to so that you don’t have to pay late enrollment penalty because those are lifetime. Feel free to give us a call about those deadlines.
If your employer has less than 20 employees in that case Medicare is going to be the primary payer. In this specific situation you really should enroll in Part A and Part B through original Medicare. Speak to your plan administrator they can give you the details because they know your specific situation. When you’re considering if you want to continue with your employer plan or go on to Medicare there are several things that you might want to consider. It IS your right to join Medicare.
Considering leaving Employer plan? Consider the following:
What is your deductible?
Does your employer contribute to your premium? And what is the premium?
Is your drug plan included in your Employer plan?
Medicare Deductibles are ALWAYS considerably less than employer plans. You can choose from a Zero Deductible Plan (Plan F) or $183 Annual Deductible (Plan G). At the time of this video, Plan F is STILL available for new folks joining Medicare. After 2020, new folks won’t be able to get Plan F. So there are just several factors but generally when the employer is smaller. If your company has less than 20 employees then Medicare is the primary payer. In that situation someone should get Part A and Part B Medicare. A lot of times people don’t want to pay out-of-pocket for the difference because Medicare is not designed to pay for everything so they’ll usually pick up a Medicare Supplement to go along with it and then usually a Part D Drug Plan. That will take care of the 4 parts of Medicare.
Thank you for checking out Which is Primary & Secondary in Medicare. Please feel free to give us a call. If you have questions about this or anything Medicare. We’re happy to help of course our services are free our number is (888) 506-7510. If you are like many folks that are just confused with Medicare, have a look at our 6-Part Medicare mini-series it’s www.GetMedicareSavings.com.