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No, Not at all....

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11y ago
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12y ago

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Q: Do you have a Medicaid copay if you have medicare primary?
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If a patient has medicare primary and medicaid secondary what payment is the patient responsible for?

WHEN MEDICARE IS PRIMARY, THE PATIENT IS RESPONSIBLE FOR THE SECONDARY COPAY.


Will Alabama medicaid pay a primary insurance copay?

Medicaid will pay the copay only if the amount of the copay added to whatever the primary insurance paid is less than or equal to what Medicaid would allow for that charge to begin with. Like charge of $50 for a visit, and the copay is $10 and the primary insurance paid $3 and Medicaid allows $15 for that particular code. Then Medicaid would pay $12.00 of it. This is highly unlikely, though.


If you are over 65 and have Medicare and medicaid is Medicare always primary?

Yes, Medicare is primary. Medicaid is always the payor of last resort.


Does medicare part A have a copay when entering a hospital?

Yes. That's why one should have Medicaid (if eligible) or supplemental insurance.


If a pt has Medicaid and Medicare which is primary?

Medicaid is always the payor of last resort.


Is there copay for Medicare?

No. Patients out of pocket is limited to the annual deductible and 20% coinsurance.


Can a medicare or Medicaid beneficary join a hmo?

Certainly altho I see no benefit for a Medicaid recipient. The HMO would be the primary insurer and Medicare secondary. Medicaid is always the payor of last resort. However, there shouldn't be any expenses for Medicare or Medicaid to pay.


If you have medicare as your primary insurance how do you get your Medicaid to be the secondary?

Medicaid is always the payor of last resort. Before a Medicaid agency pays a bill for a Medicare beneficiary, they require documentation that Medicare has "adjudicated" the bill (i.e., decided whether to make payment and, if so, how much).


What is the Medicare nursing home copay for 2011?

$141.50 is the copay for Medicare nursing home stays (day 21-100)


Which is the most popular medicare hmo?

The most popular Medicare HMO is Secure Horizons. It offers a primary care physician that provides referrals to specialists and the insured is only responsible for a copay.


How does managed care organizations deal with patients who have both medicaid and medicare?

This would be a very rare situation, I think. In such a case, the managed care organization would be the primary insurer and Medicare secondary. Medicaid is always the payor of last resort. However, there shouldn't be any expenses for Medicare or Medicaid to pay.


Does a person on medicare have to pay a copay in order to go to phyical theraphy?

Yes, most people on Medicare will need to pay a copay in order to go to physical therapy appointments. This is considered to be a specialist. If you have other health insurance outside of Medicare, this may cover the copay amount.