0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Medicare as Secondary Payer

Patrick C. Donahue
JAMA. 1988;260(11):1555. doi:10.1001/jama.1988.03410110063023.
Text Size: A A A
Published online

To the Editor.—  Recently, Dr Roper,1 administrator of the Health Care Financing Administration (HCFA), outlined the current rules concerning when Medicare pays on a primary basis and when it considers itself as secondary payer.Among other points, he stated that "Medicare [is] the secondary payer for beneficiaries who are eligible through their entitlement to Social Security disability payments and who are also covered by a large group health plan through their own employment or that of a family member."At the same time, Kathleen A. Buto, acting director of the HCFA's Bureau of Eligibility, Reimbursement and Coverage, informed FMC Corporation that the HCFA has not yet been able to decide whether disabled former employees are covered under the Medicare secondary payer provision and that therefore "Medicare will pay conditional primary benefits on future claims, subject to possible recovery from the group health plan if it is decided that Medicare

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();