Will a secondary insurance pay if medicare denies claim as not medical necessity?

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1043131

2026-04-18 19:35

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If Medicare denies a claim due to lack of medical necessity, secondary insurance may not cover the costs either, as they typically follow Medicare's determination. However, some secondary plans may have different criteria and could potentially pay for services not deemed necessary by Medicare. It's essential to review the specific terms of the secondary insurance policy to understand its coverage. Ultimately, contacting the secondary insurer directly can provide clarity on their payment policies in such situations.

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