18. A 65-year-old employee who works for an employer with 24 employees is disabled on the job. The employee has fully recovered and returned to work. Which health coverage is primary?
Answer: C
Workers' compensation is the primary health coverage in this scenario.
When an employee is injured on the job, workers' compensation typically serves as the primary health coverage for medical expenses related to that injury. Since the employee in this case was disabled while working and has turned to workers' compensation for recovery-related expenses, this coverage takes precedence.
A) Medicaid
Medicaid is a government program that provides health coverage to low-income individuals and families. In this scenario, Medicaid would not be the primary coverage since the injury occurred on the job and workers' compensation is specifically designed to address such situations.
B) an individual plan
An individual health insurance plan is not relevant in this context because the employee's injury was work-related. Workers' compensation would be the primary coverage for job-related injuries, making an individual plan secondary in importance.
C) workers' compensation
Workers' compensation is specifically designed to cover medical expenses and lost wages for employees injured while on the job. In this case, since the employee was disabled during work and has since recovered, workers' compensation is the primary coverage that would address any medical costs associated with the injury.
D) his employer's group plan
While the employer's group health plan may provide additional coverage, it does not take precedence over workers' compensation for job-related injuries. Thus, in this scenario, the group plan is secondary to the workers' compensation coverage.
Conclusion
Workers' compensation is clearly the primary coverage in this case due to the nature of the injury occurring on the job. Other options, such as Medicaid, an individual plan, and the employer's group plan, do not provide the same specific coverage for workplace injuries, making them secondary to workers' compensation.