Guest guest Posted February 22, 2006 Report Share Posted February 22, 2006 Hi Everyone, I have a question concerning the instance by where Medicare becomes Primary during the COB period for an ESRD patient. As I understand it, Medicare becomes Primary when the patient is in an LGHP in which the plan covers fewer than 100 employees or the plan denies the claim because the benefits are exhausted or the services are not covered under the plan. If a patient with ESRD is employed in a large corporation but has really poor medical coverage, e.g. payment of $400 per day for hospital room and board only and no coverage of professional fees, the patient's LGHP would remain Primary during the COB period because the company has more than 100 employees, right? Thank you. Teri Cowling TFC UT Southwestern Medical Center Quote Link to comment Share on other sites More sharing options...
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