When a plan participant or beneficiary has Medicare and other health insurance, such as group health plan insurance, retiree coverage or Medicaid, there can often be confusion as to which insurance pays first on claims. Coordination of benefits (COB) rules, which are specified in plan documents or insurance policies, decide which insurance pays first.

If you have Medicare and other health insurance, such as group health plan insurance, retiree coverage or Medicaid, questions can arise over who pays first on your claims. Coordination of benefits (COB) rules decide who pays first. One plan is considered the primary payer that covers most of your expenses, while the secondary plan covers any remaining allowable expenses not covered by the primary plan.

Medicare is health care coverage for those age 65 and older. It’s important to understand Medicare enrollment and coverage options to avoid penalties down the road. Whether you’re reaching the age of 65 or you’re older and switching from your workplace insurance to Medicare, it’s important to know how to navigate enrollment.

While most Americans have heard of Medicare as one of many health care coverage options, they may not know how it differs from other privately offered options, such as Medicare Advantage. This article explains the differences between Original Medicare and Medicare Advantage, including the various doctors one can seek care from, the differences in cost and the range of coverage between plans.

On Feb. 23, Humana announced its plan to exit the employer-based insurance business over the next 18 to 24 months. The company will instead focus on government-funded programs—such as Medicare, Medicaid and military—and specialty businesses.

In response to President Joe Biden’s executive order on lowering prescription drug costs for Americans, the U.S. Department of Health and Human Services (HHS) secretary chose three new models for testing to further build on the new prescription drug law.