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If you are over 65 and have Medicare and medicaid is Medicare always primary?
Wiki User
∙ 14y ago
Yes, Medicare is primary. Medicaid is always the payor of last resort.
Wiki User
∙ 14y ago
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Is Aetna Medicare primary over Medicare?
The answer depends on what type of Aetna Medicare Plan you have. If you have an Aetna Medicare Supplemental Plan, then Original Medicare pays first and the Aetna plan pays secondary If you have an Aetna Medicare Advantage HMO Plan, then the Aetna plan will always be primary as Medicare has assigned the benefits over to Aetna for processing and administration.
Which of these programs helps citizens over 65 with medical costs?
Medicare and Medicaid.
When is medicare disability prime over a group health plan?
As long as the only reason you are covered by Medicare is because of a disability and you haven't reached the minimum age Medicare requires to become eligible naturally, then the number of members in the group health plan will determine who is primary or secondary. Group plans with fewer than 100 members are considered to be "small" businesses and Medicare would be primary. Conversely, "large" businesses (more than 100 members) will be primary over Medicare. It doesn't matter whether the group plan is provided by you or your spouse. At the time you reach Medicare's required age to naturally become eligible with them, your case will be reviewed. At that point, the group size doesn't matter. If you have other coverage provided by you or your spouse, it will always be primary over Medicare. Medicare won't become primary until both you and your spouse have retired and are no longer covered by a group health plan. Medicare supplement plans are always secondary to Medicare, but then those aren't group health plans.
Who are the largest recipients of Medicaid and Medicare?
The largest recipients of Medicare are people over 65 years old. The largest recipients of Medicaid in terms of dollars spent are indigent nursing home residents and disabled persons. The largest recipients of Medicaid in terms of population are persons under age 18.
What is a cross over claim?
I believe it is the transfer of processed claims from Medicare to Medicaid or state agencies and insurance companies that provide supplemental insurance benefits to Medicare beneficiaries.
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.
Does medicare cover pregnancy expenses if infant is being given up for adoption?
Medicare is for individuals over the age of 65.Are you asking about Medicaid which is state insurance for low-income individuals?
Does Medicaid pay for ensure?
My mother is 98 years of age and used to receive Ensure. According to Medicare, she is no longer eligibly to receive it. She is on a fixed income.
What is the cost of AARP UnitedHealth Sierra Senior Dimension Rx plan to an elderly person in a nursing home covered by both medicare and medicaid?
I do not know what the cost is, but there is no point to such a person paying for additional insurance. Medicaid will cover whatever expenses are left over after Medicare, including the cost of the nursing home itself.
How is it deemed which insurance coverage is primary and which is secondary?
The answer to that question depends on a few things. 1. Group insurance policies are always primary over personal or self bought policies...ie You work for ABC company. You have insurance thru them (group policy) and you also pay for an individual or personal policy. Your policy thru ABC would be primary 2. Government insurance (except for medicare) is always 2nd...ie Tricare, medicaid, and etc. 3. An active policy is always primary over a retiree policy. For example John retired from ABC company and has insurance thru them. He currently works for DCE company and has a policy thru them. The DCE policy would be primary and the ABC policy 2ndary 4. If you are retired and have medicare. Then medicare is primary but if you are actively working your group insurance would be primary. 5. When it comes to children the order is 1. Parent who's birth month comes 1st if both parents are born in the same month it goes by the day (the year doesn't play a role in this) 2. If parents are divorce it goes by 1. court order if not applicable goes by who has custody is primary this includes step parents. The step parent who has custody of a child, their insurance is primary. There are a few other rules when it comes to who is primary...when in doubt contact your insurance company
What is the diffence between Medicare and medicaid?
Medicare is health insurance for persons over age 65, persons with end state renal disease and persons who receive Social Security disability payments. The individual must have 40 credits of "covered employment" (i.e., calendar quarters during which they paid into Medicare), or be the spouse or dependent of such individual. Medicare is funded by payroll taxes and administered by the Federal government. Medicaid provides care for indigent citizens under age 18 and their parents, persons over age 65, and those permanently and totally disabled. Medicaid is supervised by the Federal government, administered by the States, and funded by State and Federal taxes. [N.b., as a result of health insurance reform, by 2014 Medicaid will be available to any indigent citizen, regardless of age or disability.]
You have Medicare do your kids get it to?
No, Medicare only covers individuals who are 65 years or older, or those with certain disabilities. Children are not eligible for Medicare, but they may be eligible for other healthcare programs such as Medicaid or the Children's Health Insurance Program (CHIP).
