Medicare Secondary Payer

  • Employers offering group health plans or associations offering multi-employer group health plans must comply with the Medicare Secondary Payer (MSP) statute and regulations (the MSP laws.) These laws establish Medicare as the secondary payer to group health plan or multi-employer group health plan coverage in certain instances of dual healthcare coverage. The MSP laws are complex and can be confusing to even a seasoned healthcare administrator.

    This section has been designed to provide a general overview of what your group or association clients need to know about MSP and related issues. It's purely informational, does not modify their policy or coverage in any way, and should not be construed as legal advice or opinion.

    MSP Change Form Form used for employer groups and multiple employer groups to report group size and Medicare beneficiary changes to LifeWise that may impact MSP rules