Home Health & Hospice

Weekly Q&A: If my patient is disabled and covered by a Group Health Plan through his or her own current employment or through a family member's current employment, is Medicare the primary or secondary insurance payer?

Homecare Insider, August 15, 2016

Answer: If the employer has less than 100 employees, Medicare is the primary payer. If the employer has more than 100 employees, or at least one employer is a multi-employer group that employs 100 or more individuals, Medicare is the secondary insurance, and the group health plan is the primary payer.