When is Medicare the Primary Payer?



For nearly every medical office, Medicare is the industries preferred billing source for elderly patients. Medicare is a widely recognized billing source and is consistent so long as procedures are performed to expectation. Medicare is used as a primary billing source because elderly treatments can be costly, facilities need to be maintained and it lets patients come in for care.

Even when disaster hits

Medicare was created to provide low cost healthcare to the public when they reached the age of 65. The elderly are often the most common patient due to their body’s deteriorating state. When an elderly patient has a treatment that is beyond conventional payment Medicare will allow affordable alternatives for comfortable treatment. In short, even when the patient is less likely to pay in compensation hospitals will treat the patient due to the programs reimbursement. Patients are afforded the right to a bed and care without an immediate administrative denial.

Low cost doctor treatment

Medicare is a primary billing source because elderly patients are also typically on fixed incomes. Patient care can be expensive so Medicare answers the problem by subsidizing the cost. While also answering the cost factor doctors are also reimbursed timely for their effort. Non insured patients typically put a great strain on a facility, so Medicare provides comfort for both sides. The program is often used as a primary billing source with any secondary insurances used last.

Motivated care attendance

Lower cost patient care encourages patients to attend regular health sessions. This includes obtaining prescriptions, lab work, physical treatment and doctor examinations. The program allows patients to prevent health conditions from getting worse by receiving preventative treatment. This is beneficial both for the mental and physical states of the patient.



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