Original Medicare (Part A and Part B) is a federally funded government program.
There are certain parts of Medicare that are actually private insurance, however, such as Medicare Part C (Medicare Advantage), Medicare Part D prescription drug plans and Medicare Supplement Insurance (Medigap).
Original Medicare can also work with other types of private insurance you may have, depending on your situation.
This guide helps explain how Medicare works with private insurance, including information on eligibility, benefits and potential costs.
It’s possible to utilize both Medicare and private insurance.
Some types of other private insurance you might be able to use alongside your Medicare coverage can include:
In some cases, Medicare will pay its share first (which means Medicare is the “primary payer”), while your private insurance plan will then pay second (the other insurance is the “secondary payer”).
In some other cases, private insurance acts as the primary payer, and your Medicare coverage is the secondary payer.
The primary payer typically pays up to the limits of its coverage, and the secondary payer covers some of the costs that were not covered by the primary payer. But the secondary payer may not necessarily pay all of the uncovered costs.
Which insurance pays first is determined by the rules regarding the coordination of benefits between Medicare and your private insurance. Coverage can also be determined based on your unique circumstances.
For questions about how your private insurance plan may work with Medicare, call the Medicare Benefits Coordination & Recovery Center at 1-855-798-2627 (TTY: 1-855-797-2627).
Part A and Part B of Medicare are provided by the government, and your eligibility is typically based on your age. But there are three types of Medicare coverage that are sold by private insurance companies.
These private Medicare insurance options include:
Because each of these types of Medicare coverage is sold by private insurance companies, the cost and availability of plans may vary from one location or provider to the next.
For more information about private Medicare Advantage insurance and to learn about plan options available in your area, call today to speak with a licensed insurance agent.
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