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If a patient has medicare primary bcbs secondary medicaid tertiary and medicare pays bu t bcbs denies for carve out Is medicaid now responsible for balance?
You would need to check the medicad policy if the claim is covered or if they will be the 3rd party insurance payee in this case.
If the patient has BCBS as primary and Medicaid as secondary can you legally not accept the Medicaid and then bill the patient?
If you're an active, enrolled Medicaid provider, it is only legal in Minnesota to bill the patient for services not covered by Medicaid. If it's a covered service, they're a covered recipient and you're a covered provider, you must accept Medicaid payment as payment in full
If a patient has Medicaid coverage benefits and other health insurance coverage Medicaid would be primary or secondary?
Secondary.
Is medicaid always a primary insurance or would it be a secondary insurance?
depends
What is paid by BCBS if they are secondary and Medicare B is primary?
It depends upon the specific benefits of your BCBS policy, however they (BCBS) would process on the remainder of the balance due up to Medicare's allowed charges unless your deductible was not satisfied with your BCBS policy. In that case the entire amount allowed by Medicare would be considered for the BCBS deductible.
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.
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).
If you have medicaid and get other insurance will medicaid drop you?
no not always, They will become your secondary ins.. Meaning your primary ins will pay and whatever patient resp is left or whatever they don't cover. medicaid takes care of that
If a patient has Champva and is approved for Medicaid would Champva be primary or secondary?
ChampVA is always secondary to private health insurance, EXCEPT to Medicaid. In that case it is always primary. "Congress clearly has intended that CHAMPUS be the secondary payer to all health benefit and insurance plans... except in the case of a plan (Medicaid) administered under title 19 of the Social Security Act (42 U.S.C. 1396, et seq.)"
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.
Who pays for cpap equipment you have bcbs and Medicare?
The primary will pay first. If the primary happens to be traditional Medicare.......They (MedicarePart B will pay 80%) and the Secondary should cover the remaining 20%. That is after your annual deductible of $165.00 has been met.
You have Medicare as primary insurance and BCBS as secondary insurance Do you pay the copay on the secondary insurance?
The answer to this question depends on what kind of secondary insurance you have - is it a group health plan? Is it a supplement? If Medicare is primary, there are still deductibles, copays, coinsurance that would need to be satisfied by your secondary insurance. Based on your question, I'm assuming that you have a group health plan with a copayment as your secondary insurance. If so, then yes, you would pay your copayment but it would not exceed the part B deductible.
