GRANTED SHIKSHAN SAHAYAK BHARTI 5TH ROUND 19-09-20 NA NEWSPAPER MA PUBLISH KARVA BABAT LATEST PARIPATRA 18-09-2020

Generally, if your employer has fewer than 100 employees, Medicare pays first if you’re under 65 or you have Medicare because of a disability (other than End-Stage Renal Disease). Sometimes employers with fewer than 100 employees join with other employers to form a  Multi-employer plan  or multiple employer plan. If at least one employer in the multi-employer plan or multiple employer plan has 20 employees or more, Medicare pays second. If the employer has at least 100 employees, the health plan is called a large group health plan. If you’re covered by a large group health plan because of your current employment or the current employment of a family member (like a spouse, domestic partner, parent, son, daughter, or grandchild), Medicare pays second.    If you go outside your employer plan’s network, it’s possible that neither the plan nor Medicare will pay. Call your employer plan before you go outside the network to find out if the service will be covered.

If doctors or other providers are told you have a no-fault or liability insurance claim, they must try to get payments from the insurance company before billing Medicare. But, this may take a long time. If the insurance company doesn’t pay the claim promptly (usually within 120 days), your doctor or other provider may bill Medicare. Medicare may make a conditional payment to pay the bill, and then later recover any payments the primary payer should have made.