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Medicare is a Federal, nation-wide program.
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∙ 13y ago
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Does Medicare provide coverage out of state?
Medicare is a Federal, nation-wide program.
Is Aetna medicare a good source of coverage and what qualifications do they require?
Aetna is a good source of coverage. The physicians and facilities must be state licensed and they must be eligible to receive payment under Original Medicare.
Define medicaide and medicare in terms of state and federal legislation?
Medicare is an entirely Federal program, governed by the Social Security Act and the Code of Federal Regulations and administered by the Centers for Medicaid and Medicare Services. Medicaid is Federally supervised and subsidized, and State administered with State funds. It is governed by Title XIX of the Social Security Act, Title 42 of the Code of Federal Regulations and State law and regulation. Federal regulations require each State to provide certain minimum, basic coverage; beyond that, coverage varies among the States.
Does medicare cover gum disease treatment by a periodontist?
Medicare's dental coverage is limited and typically does not cover routine dental care, such as cleanings, fillings, extractions, or treatment for gum disease. However, there are a few exceptions: Medicare Part A may cover dental services if they are considered medically necessary and are performed in a hospital as part of a larger medical procedure. For example, if you need dental surgery due to a severe infection that affects your overall health, Medicare Part A may provide some coverage. Some Medicare Advantage (Part C) plans offer additional dental coverage as part of their benefits packages. These plans are offered by private insurance companies and may provide coverage for certain dental services, including treatment for gum disease. The specific coverage and costs will vary depending on the plan. Some state Medicaid programs offer dental coverage for low-income individuals, including coverage for gum disease treatment. If you qualify for both Medicare and Medicaid (dual eligibility), you may be able to access dental services through Medicaid. In general, for routine dental care and treatment of gum disease by a periodontist, individuals often need to purchase separate dental insurance or pay for these services out of pocket. It's essential to review your specific Medicare plan or Medicare Advantage plan's benefits to understand what dental services, if any, are covered. Additionally, you can inquire about dental insurance plans that provide coverage for the dental care you need.
Will Medicare pay for a ventricular pacemaker?
Yes. I had a pacemaker implanted and medicare paid for it except the 20% deductible. Some things such as blood work was covered 100% from Medicare. Please remember that medicare guidelines on coverage varies by state. So you would want to call them and talk to them about the specific coverage of the procedure you need done.
If you hit a deer and your car was damaged and you were injured what coverage will your car insurance provide?
Depends on your coverage, if you have the state minimum then you are SOL.
Whom are most of the laws that govern medical coverage set by?
Depends on the coverage. Most likely it will be the state, however on federal programs like medicare and medicaid those laws are federal. I believe this is correct.
How do I find out if I qualify for Medicare in the state of California?
To find out if if you qualify for Medicare in the state of California, visit www.medicare.gov. Should you still have questions after reading the site, the website will provide you with a phone number to call, so you can speak with a Medicare representative. You will need to provide to Social Services some information, including your income statements and the medical condition that you are suffering from. Based on your condition and the income, you are qualified for the various types of medicare.
What is a cross over claim?
I believe it is the transfer of processed claims from Medicare to Medicaid or state agencies and insurance companies that provide supplemental insurance benefits to Medicare beneficiaries.
Would Kaiser Permanante provide coverage to you when you are out of state if you live in Washington state most of the time but winter in Arizona?
Yes.
Does medicare cover any of the purchase price?
Medicare does not cover everything, and it does not pay the total cost for most services or supplies that are covered. You should consult your doctor to be sure you are getting the service or supply that best meets your health care needs.Medicare coverage also vary from state to state.
I am trying to find out about Medicare/Medicaid co-payment responsibility with dual coverage?
Your state may have varying laws about dual coverage, but generally speaking, if you have a primary insurance, they will pay first. Any co-pay or deductible that your primary coverage does not pay will be covered by government insurance.
