The insurance plan (or other payer) that provides payment coverage for residual insured expenses after applying the primary payer's coverage.
When coordinating benefits, the health plan that pays benefits only after the primary payer has paid its full benefits. When an FEHB fee-for-service plan is the secondary payer, it will pay the lesser of: its benefits in full, or an amount that when added to the benefits payable by the primary payer, equals 100% of covered charges.
An insurance policy, plan, or program that pays benefits after the primary insurer has paid its share of the claim. This could be Medicare, Medicaid, or other health insurance, depending on the situation.
an insurance plan that covers medical expenses only after a primary insurer has made payment on a claim
The plan that pays second when you have coverage through two benefit plans (yours and your spouse's plan). This is known as co-ordination of benefits where you can be reimbursed up to 100% (but not more) when you submit your claim to both benefit plans.
Applies only when the insured has more than one health insurance plan. The secondary payer is the plan whose payments cannot be made until another plan (the primary payer) has processed the claim. (Also see Coordination of Benefits.)
An insurance policy, plan, or program that pays second on a claim for medical care. This could be Medicare, Medicaid, or other health insurance depending on the situation.
See Medicare secondary payer.
The insurance company who has second liability for the resolution of the claim.
A health insurance plan that supplements a primary insurance plan. Health care costs not covered by the primary plan can be submitted to the secondary payer, which often covers some or all of the deductibles, co-payments, and other services not covered by the primary insurance provider.