1. 15786 POINTS
    Bob VineyardPRO
    Founder, Georgia Medicare Plans, Atlanta,GA
    In most cases, Medicare is primary and COBRA is secondary.
     
    But there are situations where your COBRA plan would be primary.
     
    If you are on Medicare as a result of ESRD (end stage renal disease) the role is reversed and COBRA is primary, Medicare secondary.
     
    You can review the Medicare publication "Who Pays First" for more detail.
    Answered on April 25, 2013
  2. 2330 POINTS
    Steve Adlman
    Owner, Alabama Medicare Plans, Birmingham, Alabama
    Medicare is primary, you need to be enrolled in both Medicare Part A and Part B. Federal Medicare regulations say that once a person age 65 or older ceases current employment, any other type of insurance, including COBRA, kicks in only after Medicare pays its share. If there’s no Medicare coverage, the insurer is under no obligation to pay Medicare’s portion.
    Answered on February 12, 2016
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