When Medicare will act as secondary payer?

Medicare will act as secondary insurance when the patient is eligible for Medicare and is also covered by one or more of the following plans:


 An employer-sponsored group health plan.

 Disability coverage through an employer-sponsored group health plan.

 An ESRD case covered by an employer-sponsored group plan.

 A third-party liability policy, if the Medicare-eligible person is seeking treatment for an injury covered by such a policy (this category includes automobile insurance, no-fault insurance and self-insured liability plans).

 A Workers’ Compensation program.

 Veterans Administration (VA) preauthorized services for a beneficiary who is eligible for both VA benefits and Medicare.