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The provider must give Medicaid proof that the other insurance carrier (including Medicaid) has "adjudicated" the bill. Medicaid will then pay any remaining eligible charges, to the extent that it would have paid had the patient not had any other insurance.

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Q: How does Medicaid pay when there is other Insurance involved?
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Related questions

Does Medicaid pay for cremation?

dose medicare cover any funeral expenses? no


Do you have to pay back medicaid if you received some inheritance?

Medicaid is insurance through the state. Medicaid is taken care of during the time of need and cut off when not in need. Medicaid does not receive a pay back if inheritance is received. Other assistance programs, however, may require some sort of pay back.


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


Will Alabama medicaid pay a primary insurance copay?

Medicaid will pay the copay only if the amount of the copay added to whatever the primary insurance paid is less than or equal to what Medicaid would allow for that charge to begin with. Like charge of $50 for a visit, and the copay is $10 and the primary insurance paid $3 and Medicaid allows $15 for that particular code. Then Medicaid would pay $12.00 of it. This is highly unlikely, though.


Can Doctor's refuse Medicaid?

They certainly can. Medicaid is a state run health insurance for the those eligible. Think of it as a business. Medicaid is just another health insurance to medical private offices, but it doesn't pay as well as other private insurances. As the result, many medical offices do not sign up with Medicaid.


Can you Medicaid and another insurance?

Yes. * If you mean can you be eligible Medicaid benefits and have private health insurance that's only possible if the person qualifies under the low-income guidelines and has minor children. Medicaid will pay or help pay insurance premiums under certain circumstances, again the person must meet the low-income requirements and in some cases have dependent minor children.


Does Medicare or your other insurance pay first?

Medicaid is always the payor of last resort.


Can you have Medicaid and a personal health insurance plan?

Yes, you can have both Medicaid and a private health insurance plan. The Medicaid plan will pay after your private plan pays. This means that your doctor (or hospital or other service provider) will bill your private plan first; then they will send the private plan's explanation of benefits (called an "EOB") to Medicaid.


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).


If you have Medicaid and your primary doctor does not accept it can you pay for services without using insurance?

Yes. I have had medicaid for years and my primary doctor does not use it, so I just pay when I go to see him.


Do you have to pay Medicaid when you receive your insurance check?

Probably not. Usually, any deductions for Medicaid will have been taken prior to any payment to the patient.


With Medicare A and B and Medicaid GO do you need additional health insurance?

Medicaid should pick up anything that Medicare doesn't pay for.