A 70-year old insured individual has suffered from kidney failure for the past 24 months. She is covered by her spouse’s large-group employer plan. How will Medicare be utilized in this situation?

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A 70-year old insured individual has suffered from kidney failure for the past 24 months. She is covered by her spouse’s large-group employer plan. How will Medicare be utilized in this situation?

Options

Will be the primary insurer and pay for 100% of covered expenses
Will be the secondary insurer and pay for claims not fully covered by the group plan
Will not pay for any of the covered expenses
Will be the primary insurer and the group plan will be secondary

Answer: Will be the secondary insurer and pay for claims not fully covered by the group plan

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