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.
Medicaid
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.
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.
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.
Both Medicare and Medicaid are government insurance programs.
You submit an EOB from the Medicare HMO with your Medicaid claim.
Yes, Medicare is primary. Medicaid is always the payor of last resort.
Medicaid is the payor of last resort. Therefore, bill Medicare first. Bill Medicaid for any expenses Medicare didn't cover.
You are not required to pay back Medicaid or Medicare.
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).
I have Medicare and Medicaid can I get a tubal reversal with them.
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.