I work admissions at a behavioral health facility. Patient has Medicare A&B and a commercial blue cross plan through his wife. My facility takes blue cross for the service he requested but we are not contracted with Medicare for that specific service.
I scheduled the patient as usual and get a angry call from the insurance specialists at my work. Because the commercial blue cross is on his wife’s plan, it’s secondary to his Medicare. Making him ineligible for coverage so he has to self-pay or cancel. I tried to ask my insurance specialists as to why wouldn’t the secondary come into play. They just told me it doesn’t.
What’s the point of secondary insurances and is there any stipulations I should look for in the future when it comes to patients with multiple insurances?
submitted by /u/Ketchupandranch
[link] [comments]
I work admissions at a behavioral health facility. Patient has Medicare A&B and a commercial blue cross plan through his wife. My facility takes blue cross for the service he requested but we are not contracted with Medicare for that specific service. I scheduled the patient as usual and get a angry call from the insurance specialists at my work. Because the commercial blue cross is on his wife’s plan, it’s secondary to his Medicare. Making him ineligible for coverage so he has to self-pay or cancel. I tried to ask my insurance specialists as to why wouldn’t the secondary come into play. They just told me it doesn’t. What’s the point of secondary insurances and is there any stipulations I should look for in the future when it comes to patients with multiple insurances?
submitted by /u/Ketchupandranch [link] [comments]Read Morer/HealthInsurance