I Hate Dialysis Message Board
Welcome, Guest. Please login or register.
November 21, 2024, 04:15:43 PM

Login with username, password and session length
Search:     Advanced search
532606 Posts in 33561 Topics by 12678 Members
Latest Member: astrobridge
* Home Help Search Login Register
+  I Hate Dialysis Message Board
|-+  Dialysis Discussion
| |-+  Dialysis: Medicare/Insurance
| | |-+  secondary insurance
0 Members and 1 Guest are viewing this topic. « previous next »
Pages: [1] Go Down Print
Author Topic: secondary insurance  (Read 3316 times)
sullidog
Elite Member
*****
Offline Offline

Gender: Male
Posts: 1432

« on: August 04, 2012, 08:01:54 PM »

Hi all,
I have medicare as my primary and my employers insurance as my secondary.
The problem is my secondary won't pay what medicare didn't unless I send them the statement from medicare, I thought that if medicare didn't pay the secondary would pay automatically, no they want the medicare statements which I get but they send very few and I find it a minor annoyance that I have to do this every time to do this with every claim and there's a lot of them.
Any ideas on what to do to fix this issue? might I add not only would this make me have medical costs, but postal costs as well!
Logged

May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
Joe
Elite Member
*****
Offline Offline

Gender: Male
Posts: 1166


« Reply #1 on: August 05, 2012, 07:39:27 AM »

My dialysis center handles all the primary and secondary billing for me. If they want to get paid, they get to send the bill.
Logged

Live simply. Love generously. Care deeply. Speak kindly.
Leave the rest to God...
jeannea
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1955

« Reply #2 on: August 05, 2012, 08:05:07 AM »

Yeah this doesn't make any sense. Talk to billing at dialysis. Also, if necessary, escalate a call to your insurance provider and find out why they can't handle what every other insurer can handle.
Logged
amanda100wilson
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1202

« Reply #3 on: August 05, 2012, 10:17:55 AM »

No ,that is the way hat it is done.  Secondary won't pay unless the have received the EOB (explanation of benefits) from Medicare even if Medicare are not paying anything.  This is not  just yoursecondary insurance, all operate in the same way.  I am surprised though that you ate having to deal with this as the provider usually does it  (as a courtesy).  The only to e that it may not happen is if Medicate isn't listed with the provider as primary.  It is important to make sure that Medicare is listed as primary with your provider otherwise the.invoive will be sent to your secondary in error who will then reject it, and send the payment request to you.  Suggest you talk to your provider's billing office to check if this has been set up properly.  Often if you are under 65 and not registered disable, they will make the assumption that Medicare is not primary as ESRD patients are a select few who receive Medicare as primary without being low income, disable or over 65.
Logged

ESRD 22 years
  -PD for 18 months
  -Transplant 10 years
  -PD for 8 years
  -NxStage since October 2011
Healthy people may look upon me as weak because of my illness, but my illness has given me strength that they can't begin to imagine.

Always look on the bright side of life...
Pages: [1] Go Up Print 
« previous next »
 

Powered by MySQL Powered by PHP SMF 2.0.17 | SMF © 2019, Simple Machines | Terms and Policies Valid XHTML 1.0! Valid CSS!