For an employee age 65 or older who is still working at a large employer, the employer group health plan is generally the ______ payer and Medicare is ______:

a.primary; secondary
b.excluded; primary
c.the only payer; unused
d.secondary; primary

解析

Under the Medicare Secondary Payer rules, a large employer's group plan pays first (primary) for an active employee 65+, and Medicare pays second. The group plan is not secondary or the only payer in this situation.

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