In most situations the answer to your question is based upon the size of the employer group. If the group has on average 20 or fewer employees then Medicare is the primary payer in a dual coverage situation (Medicare + group coverage). If the group has more than 20 employees then the employer's insurance coverage is in the primary pay position and Medicare is secondary. This covers the vast amount of situations.
As with every government program there are other rules and thresholds that can apply in a variety of other situations to numerous to list here. One that may be encountered by some people is when they or a covered dependent become disabled. In that circumstance, for employers with an average of 99 or fewer employees then Medicare is the primary payer on that disabled person and the employer's group plan is secondary.
For more information or advice feel free to contact me.
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As with every government program there are other rules and thresholds that can apply in a variety of other situations to numerous to list here. One that may be encountered by some people is when they or a covered dependent become disabled. In that circumstance, for employers with an average of 99 or fewer employees then Medicare is the primary payer on that disabled person and the employer's group plan is secondary.
For more information or advice feel free to contact me.