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When is Medicare Primary or Secondary?

Medicaid

Do you have Medicaid? Medicare will always be your primary plan if you have Medicaid [4].

When is Medicare Secondary Insurance?

In most cases, Medicare is the primary insurance. However, there are some cases when Medicare is secondary. For example:

  • If you have job-based insurance from an employer with 20 or more employees: This applies when you get insurance through your spouse’s company or your employer. Companies must give people older than 65 the same medical benefits that they give other workers.
  • If you get workers’ compensation: Your workers’ compensation insurance will be primary for every service or product associated with your workers’ compensation claim. Medicare will pay first for all covered medical expenses unrelated to the compensation claim.

Do you want to have a Medicare Plan? You can do the following:

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