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The coverages of medicare or medicaid are determined by a panel of experts consisting of medical personnel, actuaries, valuers of the respective Insurance Company. This panel of experts determines how many coverages can be admitted in a particular medical policy from the point of view of economy and sustainability. However, the Insurance Companies have social responsibility to provide medical coverage to common people at affordable cost.

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Q: Who decides what Medicare or Medicaid covers?
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What insurance covers you if you're living in St. Louis and I have medicare and medicaid and want gym memberships?

Medicaid


What is the difference between medicaid and Medicare d?

Medicaid is a program for persons with limited resources. It covers various sorts of medical care including prescriptions. Medicare Part D covers prescription costs only, for persons over age 65. One does not have to be poor to qualify for Medicare Part D.


Is medicare and medicate part of department of health and human services?

Medicare and Medicaid are the responsibility of the Center for Medicare and Medicaid, which is part of DHHS. However, Medicaid is administered by the States.


Does Michigan Medicaid cover chiropractic care?

Yes, Michigan Medicaid covers Chiropractic care. It covers xrays too. $1 per visit. If you have Medicare too, you can see a chiropractor 24 times per year. 12 times per year I believe for Medicaid only.


Are Medicare and Medicaid private insurance groups?

Both Medicare and Medicaid are government insurance programs.


How do you bill secondary Medicaid when Medicare is with an HMO?

You submit an EOB from the Medicare HMO with your Medicaid claim.


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.


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.


If you qualify for medicaid will you get back money taken out of medicare before qualification?

You are not required to pay back Medicaid or Medicare.


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).


Can you get a tubal reversal on Medicare?

I have Medicare and Medicaid can I get a tubal reversal with them.


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.