Health insurance plan that pays for expenses not covered by primary coverage under the coordination of benefits provision.
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Coverage which provides payment for charges not covered by the primary policy or plan.
Tag: MEDICAL
Secondary diagnosis
Reason subsequent to the primary diagnosis for an office or hospital encounter that may contribute to the condition or define the need for a higher level of care but is not the underlying cause. There may be more than one secondary diagnosis. See other diagnoses .
Secondary health condition
Patient’s medical problem resulting from the location of his or her work environment, but the condition does not originate from the job.
Secondary insurer
Second insurance plan identified through coordination of benefits (COB) that has the responsibility to pay if there are benefits pending after the first insurance company has sent the provider or patient reimbursement for the medical services. Also called secondary carrier or secondary insurance .
Secondary payer
1. Insurance carrier that reimburses the residual balance of the insurance claim after the primary insurance has paid its benefits. 2. When Medicare is the secondary payer (MSP), the primary insurance plan of a Medicare beneficiary must pay for any medical care or services first before Medicare is sent a claim. MSP may involve aged or disabled patients who are under group health plans and cases related to workers’ compensation, automobile accident, medical no-fault, and liability insurance. For a Medicare patient suffering from end-stage renal disease (ESRD), MSP is the payer for the first 30 months that the beneficiary is entitled to benefits.
Section 101 (a) (1) of the Internal Revenue Code
Federal statute that qualifies the death benefit paid under a life insurance policy is received by the beneficiary of the policy income-tax free.
Section 1035 Exchange
See: Section 1035 of the Internal Revenue Code .
Section 1035 of the Internal Revenue Code
Federal statute allows taking proceeds from one life insurance policy or annuity and reinvesting the funds immediately in another life insurance policy or annuity of the same type without having to pay tax on any profit. Sometimes referred to as a Section 1035 Exchange .
Section 105 Medical Reimbursement Plan
Federal statute that employers receive a 100% tax deduction for reimbursement to eligible employees for health care expenses paid by those employees and reimbursed by the employer (e.g., premiums and noninsured medical expenses).
Section 105 of the Internal Revenue Code
Federal statute that permits the self-employed a 100% tax deduction for the family health care expenses to include premiums related to health insurance, disability income insurance, and long-term care insurance. A 100% deductible is also allowed for noninsured medical, dental, and vision care expenses.