What is a Medicare Secondary Payer? | Patriot Plans
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Medicare Basics

What is a Medicare Secondary Payer?

A Medicare Secondary Payer (MSP) situation occurs when Medicare is not the primary payer. In MSP situations, another insurance (employer, workers compensation, liability insurance) pays first, and Medicare pays second. Medicare has the right to recover payments it made when it should have been the secondary payer.

Key Points

  • MSP: Medicare is not the primary payer
  • Other insurance pays first; Medicare pays second
  • MSP situations: employer insurance, workers compensation, liability insurance
  • Medicare has the right to recover payments made as primary when it should have been secondary
  • An independent agent can help you understand MSP rules