Medicare Secondary to BCBS OON

[Guest guest]

I'm sure this has been asked numerous times before, but I'm kind of scratching

my head on this one.

Here is the situation:

BCBS is Primary. We are out of network with our local for Liver transplant.

Medicare is secondary.

BCBS will pay 80% if the patient goes in network with an out of pocket max of

$3000. If patient goes out of network BCBS will only pay 60% with no oop max.

How does Medicare pay in a sitation like this? Would they only cover what they

would normall have to if patient went in network? Or do the cover the entire

remaing amount, minus deductible?

Make sense?

Help would so be appreciated. If you need more info let me know.