|
MSP Situation |
Refer to
Working Aged, Disability or ESRD |
Bill Other
Insurance as Primary |
Bill
Medicare as Primary |
Bill
Medicare as Secondary |
|
Person with disability is
under 65 years of age and . . . |
|
The beneficiary is not
covered under a large-group health plan and does not have
a spouse. |
|
|
X |
|
|
The beneficiary is covered
under a large-group health plan from a past or present
employer; the employer has fewer than 100 employees;
the beneficiary has no spouse. |
|
|
X |
|
|
The beneficiary is covered
under a large-group health plan from a past employer,
the employer has more than 100 employees; the
beneficiary has no spouse. |
|
|
X |
|
|
The beneficiary is covered
under a large-group health plan from a present employer,
the employer has more than 100 employees; the
beneficiary has no spouse. |
|
X |
|
X |
|
The beneficiary is not
covered under any large-group health plan from a past
or present employer, but the beneficiary has a spouse
or family member who is employed and has the beneficiary
covered under his or her large-group health plan. The
spouse’s or family member’s employer has fewer than
100 employees. |
|
|
X |
|
|
The beneficiary is not
covered under any large-group health plan from a past or
present employer, but the beneficiary has a spouse or
family member who is currently employed and has the
beneficiary covered under his or her large-group health
plan. The spouse’s or family member’s employer has more
than 100 employees. |
|
X |
|
x |
|
The disabled child is
covered under a parent’s contract; the employer has fewer
than 100 employees. |
|
|
X |
|
|
The disabled child is
covered under a parent’s contract; the employer has more
than 100 employees. |
|
X |
|
X |
