Can you get a discount on medical insurance due to the fact that you receive Medicaid A B by using one as a primary and the other as a secondary?

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Do you mean Medicaid (Welfare)

Are you referring to getting a Medi-Gap policy to cover what Medi-care doesn't pay?

Here's Medicare's 40 page booklet on dual coverage http://www.medicare.gov/Publications/Pubs/pdf/02179.pdf

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What if you have medical coverage thru your spouses work and you have medicaid because you are disabled which is the primary insurance?