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You cannot bill Medicaid for your HMO deductibles. However, if you are medicaid eligible, you don't need a Medicare HMO - Medicaid should be paying your Medicare co-payments, deductibles, and any other covered expenses that Medicare doesn't pay.
If you are on Medicaid spend-down, your HMO deductible is a medical expense that can be applied to spend-down.
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How do you bill secondary Medicaid when Medicare is with an HMO?
You submit an EOB from the Medicare HMO with your Medicaid claim.
Does Medicaid pay Medicare Hospital Deductible?
In Illinois, a provider who accepts a patient as Medicaid cannot bill that patient for anything for which Medicaid would have paid had the provider timely and properly billed Medicaid.
How does the company deal with patients who also have medicaid and medicare?
Medicaid is the payor of last resort. Therefore, bill Medicare first. Bill Medicaid for any expenses Medicare didn't cover.
What does Medicare pay that Medicaid does not pay?
Medicare and Medicaid coverage is virtually identical. The two principal things to remember are: Medicaid is always the payor of last resort (i.e., bill Medicare and/or private insurance first); and, Medicare does not pay for long term custodial care, such as a nursing home (Medicaid does).
If you have Medicare in Idaho are you covered if you travel out of state?
Medicare is nationwide. If you're referring to Medicaid, you're covered if the provider is willing to bill Idaho Medicaid.
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 will Medicaid pay for haircuts?
whats will medicaid pay for haircuts and is it every month or 6 weeks or 8 weeks
Define medicare tob type of bill codes?
Medicare and Medicaid type of bill codes and definitions can be found on the following website: http://www.indianamedicaid.com/ihcp/Forms/Type_of_Bill_Table.pdf
Do you have to keep your healthplan if you are on Medicare and Medicaid?
Unless one anticipates becoming ineligible for Medicaid, there is no good reason for a person who has both Medicare A & B and Medicaid to keep a private insurance plan. However, if you choose to do so, please do the taxpayers a favor and let your medical providers and your Medicaid caseworker know about the private plan, so that Medicaid will be billed only after the bill is "adjudicated" by Medicare and/or the private plan.
You bill medicare 450.00 medicae approve 90 percent has not met the deductible how much does medicare pay?
Answer$450 * .9 -$135 *.8 = $216.00
Is a medicare patient treated by a non-participating physician responsible for paying their bill?
pay a higher deductible
Do you need to keep your Medicare health plan if you have medcaid and Medicare AND B?
Unless one anticipates becoming ineligible for Medicaid, there is no good reason for a person who has both Medicare A & B and Medicaid to keep a private insurance plan. However, if you choose to do so, please do the taxpayers a favor and let your medical providers and your Medicaid caseworker know about the private plan, so that Medicaid will be billed only after the bill is "adjudicated" by Medicare and/or the private plan.
